JOSE R. VILLAVICENCIO MD – NPI #1265483580
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

JOSE VILLAVICENCIO is a physician located in LOGAN, OH. NPPES has assigned the NPI number 1265483580 to JOSE VILLAVICENCIO on May 12, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 18 years ago on May 29, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOSE VILLAVICENCIO below.

NPI Profile for
JOSE R. VILLAVICENCIO

NPI Number
1265483580
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOSE R. VILLAVICENCIO
Credentials
MD
Primary location
601 ST RT 664
LOGAN, OH 43138
Phone: (740) 380-8000 Fax:
Mailing address
4750 HEMPSTEAD STATION DR
KETTERING, OH 45429-5164
Phone: (800) 875-0136 Fax: (937) 619-4304
Sole Proprietor
No
Updated
Identifiers

Identifiers for JOSE VILLAVICENCIO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS000000326505
OTHERHOCKING MEDICARE RRP00139007
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
OH 35069935V

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.