Olmedo Eloy Villavicencio, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101018401 Issued in VA

Practice address

601 S Carlin Springs Rd
Arlington, VA 22204-1044

Phone

(703) 271-8800

Fax

(703) 271-8585

NPI assigned

Sep 8, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1730496100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S CARLIN SPRINGS RD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041050",
            "telephone_number": "703-271-8800",
            "fax_number": "703-271-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S CARLIN SPRINGS RD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041044",
            "telephone_number": "703-271-8800",
            "fax_number": "703-271-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAVICENCIO",
        "first_name": "OLMEDO",
        "middle_name": "ELOY",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101018401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil M Vidwans, M.D.
• Jean Vike, MD
• Kathryn Jockovic Villa, M.D.
• Ricardo Villalobos, M.A., N.C.C.
• Rocio Villalobos
• Emma Vines, PSYD
• Danielle A Viola
• Ashini Viradiya
• Angela J. Vires, CRNA
• Virginia Center for Cosmetic and General Dentistry

• Pediatrics Physician in Arlington, VA
• Providers in Arlington, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.