Villages Internal Medicine and Senior Clinic PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME80483 Issued in FL

Legal business name

VILLAGES INTERNAL MEDICINE AND SENIOR CLINIC PA

Practice address

3351 Wedgewood LN
The Villages, FL 32162-7181

Phone

(352) 259-0634

Fax

(352) 259-2174

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Winston Evalle, M.D.NPI 1265444202

Title

President

Phone

(352) 259-0364

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Winston E Evalle, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • The Villages, FL
  • NPI 1265444202
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1801939277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 WEDGEWOOD LN",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321627181",
            "telephone_number": "352-259-0634",
            "fax_number": "352-259-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 WEDGEWOOD LN",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321627181",
            "telephone_number": "352-259-0634",
            "fax_number": "352-259-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGES INTERNAL MEDICINE AND SENIOR CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "EVALLE",
        "authorized_official_first_name": "WINSTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-259-0364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME80483",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME80483",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "58634",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Village Dermatology & Cosmetic Surgery, LLC
• Village Gynecology MD PA
• Village Nutritionist (The Village Nutritionist)
• Village Sleep Lab & Breathing Center Inc
• Villages Healthcare Services, LLC (Central Florida Regenerative Medicine)
• Villages Regional Hospital Surgery Center, LLC
• Villages Tri-County Medical Center Inc
• Villages Tri-County Medical Center Inc. (The Villages Regional Hospital East Campus Clinic)
• Villages Tri-County Medical Center Inc. (UF Health Spanish Plaines Rehab Hospital)
• Villages Tri-County Medical Center Inc. (UF Health Spanish Plaines Hospital)

• Internal Medicine Physician in The Villages, FL
• Providers in The Villages, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.