Noel Feliciano Villanueva, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

J7717 Issued in TX

Practice address

850 Tower Dr Ste 111
Odessa, TX 79761-4252

Phone

(432) 580-7440

Fax

(432) 580-7730

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194873786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9575",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797089575",
            "telephone_number": "432-580-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 TOWER DR STE 111",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614252",
            "telephone_number": "432-580-7440",
            "fax_number": "432-580-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "NOEL",
        "middle_name": "FELICIANO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J7717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138040405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Elisa Vetter, DNP
• Vibrant Smiles PLLC
• Christina Marie Vier
• Mayra Villa, FNP-C
• Maria Resah Basa Villanueva, MD
• Carlos Eduardo Villarreal Hernandez, MD
• Stephanie Villarreal, M.D.
• Delia Sotelo Villaueva
• Elesea Celeste Villegas, PA-C
• Carol Lawson Vincent

• All providers in Odessa, TX
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.