Randy Villanueva MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

39777 Issued in TN

Legal business name

RANDY VILLANUEVA MD PC

Practice address

3025 N Windstone Way LN
Germantown, TN 38138-7383

Phone

(901) 590-0103

NPI assigned

Sep 4, 2008

Organization subpart

No

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

Authorized official

Name

Randy Joseph Lee Villanueva, MD

Title

Owner/President

Phone

(901) 590-0103

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1760630628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 N WINDSTONE WAY LN",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381387383",
            "telephone_number": "901-590-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 N WINDSTONE WAY LN",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381387383",
            "telephone_number": "901-590-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY VILLANUEVA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "RANDY JOSEPH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "901-590-0103",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "39777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "39777",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sailaja Raju, M.D.
• Rajesh Ramachandran, M.D.
• Anna Johnson Rambo, M.D.
• Abigail Marie Ramsey
• Kimberly M Randolph, APN
• Tunja Rash, APN, FNP-BC
• Karen Ratliff, LCSW
• Thomas Warren Ratliff, MD
• William Thomas Rawlinson, MD
• Ashleigh Ray, FNP

• Internal Medicine Physician in Germantown, TN
• Providers in Germantown, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.