A E Villalba Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

27126 Issued in OH

Legal business name

A E VILLALBA INC

Practice address

2321 Second St
Suite 114
Cuyahoga Falls, OH 44221-2520

Phone

(330) 929-3956

Fax

(330) 929-3829

NPI assigned

Jul 19, 2010

Last updated

Aug 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Abdon E Villalba Inc, MD

Title

Psychiatrist

Phone

(330) 929-3956

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Frank Danckaert

  • Clinical Social Worker
  • Cuyahoga Falls, OH
  • NPI 1649583634
  NPD (past)

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1326351313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 SECOND ST",
            "address_2": "SUITE 114",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212520",
            "telephone_number": "330-929-3956",
            "fax_number": "330-929-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 SECOND ST",
            "address_2": "SUITE 114",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212520",
            "telephone_number": "330-929-3956",
            "fax_number": "330-929-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A E VILLALBA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "VILLALBA INC",
        "authorized_official_first_name": "ABDON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "330-929-3956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "27126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3058739",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 55 Transportation Inc (55 Transortation Inc)
• 59 Grafton LLC (The Cole Center)
• Randy Wayne Abbott
• Jason Elie Abdallah, M.D.
• Walid Abdel Fatah
• Jeffery M Abood, CRNA
• Walter Nicholas Abood, CNP

• Specialist in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.