Michael Villa, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

3501009073 Issued in MI

Practice address

30128 Harper Ave Ste 1
Saint Clair Shores, MI 48082-1662

Phone

(586) 498-9133

NPI assigned

Dec 2, 2021

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ideal Practice Management Group Mi LLC

  • Hearing Aid Equipment
  • Dickson, TN
  • NPI 1013466408

  Hearing Instrument Specialist

  NPD (past)

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1740948207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14508 HOLBORN DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483132951",
            "telephone_number": "586-260-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30128 HARPER AVE STE 1",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480821662",
            "telephone_number": "586-498-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA",
        "first_name": "MICHAEL",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MI",
            "license": "3501009073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rudy Jerome Vervaeke, M.D.
• VGW LLC
• Nicole M Vichunas, PA-C
• Macayla View
• Cesar De Jesus Villa
• Ruth A. Villanueva
• Vincent R C Maribao MD PC
• Vincents RX LLC
• Vines Pharmacy LLC
• Daljit Virdi, RPH

• Hearing Instrument Specialist in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Hearing Instrument Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.