| Dr Josue J Villalta, MD | |
|
6920 Parkdale Pl, Suite 100, Indianapolis, IN 46254-5612 | |
| (317) 329-7177 | |
| (317) 329-7180 |
| Full Name | Dr Josue J Villalta |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 6920 Parkdale Pl, Indianapolis, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144310244 | NPI | - | NPPES |
| 000000093399 | Other | IN | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 01029614A (Indiana) | Primary |
| Entity Name | Kaeo Physical Therapy Llc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1578138095 PECOS PAC ID: 1557766409 Enrollment ID: O20210816003500 |
| Entity Name | International Medical Surgical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417641606 PECOS PAC ID: 4385166545 Enrollment ID: O20250317002993 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Josue J Villalta, MD 6920 Parkdale Pl, Suite 100, Indianapolis, IN 46254-5612 Ph: (317) 329-7177 | Dr Josue J Villalta, MD 6920 Parkdale Pl, Suite 100, Indianapolis, IN 46254-5612 Ph: (317) 329-7177 |
Dr. Brenna Espelien, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-274-2018 | |
Dr. Elizabeth Ann Wehlage, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8111 Township Line Rd, Indianapolis, IN 46260 Phone: 317-415-7528 Fax: 317-415-7529 | |
Jonathan Baker Lupton, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8051 S Emerson Ave Ste 400, Indianapolis, IN 46237 Phone: 317-865-3600 Fax: 317-885-3850 | |
Lillie-mae Padilla, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 550 University Blvd, Uh 2440, Indianapolis, IN 46202 Phone: 317-274-1661 Fax: 317-278-9918 | |
James H Brillhart, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8040 Clearvista Pkwy, Suite 520, Indianapolis, IN 46256 Phone: 317-621-2400 Fax: 317-621-5266 | |
Alan M Golichowski, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8091 Township Line Rd Ste 108, Indianapolis, IN 46260 Phone: 317-415-8100 | |
Jon K Hathaway, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-274-1661 Fax: 317-278-9918 |