Villard Primary & Specialty Care S.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VILLARD PRIMARY & SPECIALTY CARE S.C.

Practice address

5330 W Villard Ave
Milwaukee, WI 53218-4345

Phone

(414) 463-9159

Fax

(414) 831-0422

NPI assigned

Jun 16, 2006

Organization subpart

No

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

Authorized official

Name

William Gerard, D.O.

Title

President

Phone

(414) 463-9159

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497799860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 W VILLARD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184345",
            "telephone_number": "414-463-9159",
            "fax_number": "414-831-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 W VILLARD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184345",
            "telephone_number": "414-463-9159",
            "fax_number": "414-831-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLARD PRIMARY & SPECIALTY CARE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GERARD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-463-9159",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30074500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edison Edgar Villalobos Anez, MD
• Alexander Villalobos, MD
• Julissa Villalobos
• Sarah A Villanueva, NP
• Severino Tayson Villanueva, PT
• Marie Ashley Joanne Villard-Wrobbel
• Carla Catherine Villarreal, PTA
• Diego Villarreal, PT
• Maureen Villars
• Jaimy Villavicencio Kim, M.D.

• Family Medicine Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Family Medicine Physician in Wisconsin

• 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.