Active NPI
Michael E Villano MD LLC
- Facial Plastic Surgery Physician
- Bend, OR
National Provider Identifier
1124202346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- Legal business name
- MICHAEL E VILLANO MD LLC
- Practice address
- 431 NE Revere Ave
110
Bend, OR 97701-4189 - Phone
- (541) 312-1145
- Fax
- (541) 312-8816
- NPI assigned
- Dec 24, 2007
- Last updated
- Mar 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael E Villano, M.D.
- Title
- Owner
- Phone
- (541) 312-1145
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | NU | Primary |
Addresses
Primary practice location
431 NE Revere Ave
110
Bend, OR 97701-4189
Mailing address
431 NE Revere Ave Ste 110
Bend, OR 97701-4189
Phone (541) 312-1145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
431 NE Revere Ave
Ste 100
Bend, OR 97701
Phone (541) 312-1145
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Otolaryngology Physician
- Bend, OR
- NPI 1023069481
-
- Gynecology Physician
- Scottsdale, AZ
- NPI 1255346938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427155200000",
"number": "1124202346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 NE REVERE AVE STE 110",
"city": "BEND",
"state": "OR",
"postal_code": "977014189",
"telephone_number": "541-312-1145",
"fax_number": "541-312-8816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 NE REVERE AVE",
"address_2": "110",
"city": "BEND",
"state": "OR",
"postal_code": "977014189",
"telephone_number": "541-312-1145",
"fax_number": "541-312-8816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL E VILLANO MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-24",
"last_updated": "2015-03-24",
"status": "A",
"authorized_official_last_name": "VILLANO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "541-312-1145",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
- Katrina Suzanne Meynig, NP
- Ellie R Meyrowitz, PT
- Jeffrey Meyrowitz, M.D.
- Michael D Henderson D O LLC (Bachelor Butte Internal Medicine)
- Michael D Tobey DC PC
- Michael Hoffman Counseling
- Michael J. Mastrangelo PC (Bend Surgical Associates)
- Michael Yunker LLC
- Ashley Michael, MD
- Jerod Paul Michael, MS, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.