| Jose R Villavicencio, MD | |
|
601 St Rt 664, Logan, OH 43138 | |
| (740) 380-8000 | |
| Not Available |
| Full Name | Jose R Villavicencio |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 601 St Rt 664, Logan, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265483580 | NPI | - | NPPES |
| 000000326505 | Other | BCBS | |
| P00139007 | Other | HOCKING MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35069935V (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jose R Villavicencio, MD 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136 | Jose R Villavicencio, MD 601 St Rt 664, Logan, OH 43138 Ph: (740) 380-8000 |
Dr. Darren J Sommer, D.O Internal Medicine Medicare: Medicare Enrolled Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 | |
Dr. Enovwo Eloho Ohwofahworaye, PHARMD, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1383 W Hunter St, Logan, OH 43138 Phone: 740-385-0202 | |
Shivaprakash T Kudlapur, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30381 Chieftain Dr, Logan, OH 43138 Phone: 740-385-2555 Fax: 740-380-3750 |