Organization Active NPI

Emilio Villegas, M.D.

  • Family Medicine Physician
  • Irwin, PA
National Provider Identifier
1437165925
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
034457L Issued in PA
Legal business name
EMILIO VILLEGAS, M.D.
Practice address
100 Pennsylvania Ave
Irwin, PA 15642-3552
Phone
(724) 863-1204
Fax
(724) 863-9169
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Emilio Villegas, M.D.
Title
Doctor
Phone
(724) 863-1204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 034457L PA Primary

Addresses

Primary practice location

100 Pennsylvania Ave
Irwin, PA 15642-3552

Mailing address

100 Pennsylvania Ave
Irwin, PA 15642-3552
Phone (724) 863-1204

Other identifiers 1

IdentifierTypeStateIssuer
000608057002MedicaidPA

National Provider Directory

National Provider Directory

Locations

100 Pennsylvania Ave
Irwin, PA 15642
Phone (724) 863-1204

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437165925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PENNSYLVANIA AVE",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156423552",
            "telephone_number": "724-863-1204",
            "fax_number": "724-863-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PENNSYLVANIA AVE",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156423552",
            "telephone_number": "724-863-1204",
            "fax_number": "724-863-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILIO VILLEGAS, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VILLEGAS",
        "authorized_official_first_name": "EMILIO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "724-863-1204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "034457L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000608057002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irwin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.