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DR. DOUGLAS LEWIS VILLA MD NPI 1508969155


NPI Information

NPI: 1508969155
Provider Name: DR. DOUGLAS LEWIS VILLA, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
212 E B ST
IRON MOUNTAIN, MI
ZIP 49801
Phone: (906) 774-2990
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DR. Douglas Lewis Villa, MD is a family medicine in Iron Mountain, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Douglas Lewis Villa, MD NPI is 1508969155. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

212 E B ST
IRON MOUNTAIN, MI
ZIP 49801-411
Phone: (906) 774-2990
Fax: (906) 774-5950

The enumeration date for this NPI number is 9/7/2006 and was last updated on 9/8/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine4301044982MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B44087MEDICARE UPIN
2000032MEDICARE OSCAR/CERTIFICATIONWISCONSIN
3000007MEDICARE OSCAR/CERTIFICATIONWISCONSIN
4P00616796MEDICARE OSCAR/CERTIFICATIONMICHIGAN
5R91626MEDICARE UPINWISCONSIN
6OP383400006MEDICARE OSCAR/CERTIFICATIONMICHIGAN
7P00046864MEDICARE OSCAR/CERTIFICATIONWISCONSIN
8OP383400006MEDICARE PINMICHIGAN
91631523MEDICAIDMICHIGAN
10000030MEDICARE OSCAR/CERTIFICATIONWISCONSIN
11080007579OTHERRAILROAD MEDICARE
12000101MEDICARE OSCAR/CERTIFICATIONWISCONSIN
1330637100MEDICAIDWISCONSIN
140220026MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
15000025MEDICARE OSCAR/CERTIFICATIONWISCONSIN
16000011MEDICARE OSCAR/CERTIFICATIONWISCONSIN
17000023MEDICARE OSCAR/CERTIFICATIONWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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