Active NPI
Lope T Villa Jr MD PA
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Towson, MD
National Provider Identifier
1932169406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- D15824
- Legal business name
- LOPE T VILLA JR MD PA
- Practice address
- 120 Sister Pierre Drive
Ste 103
Towson, MD 21204 - Phone
- (410) 296-4242
- Fax
- (410) 828-5613
- NPI assigned
- Mar 27, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lope Tan Villa Jr., MD
- Title
- President
- Phone
- (410) 296-4242
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | D15824 | MD | Primary |
Addresses
Primary practice location
120 Sister Pierre Drive
Ste 103
Towson, MD 21204
Mailing address
120 Sister Pierre Drive
Ste 103
Towson, MD 21204
Phone (410) 296-4242
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1932169406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 SISTER PIERRE DRIVE",
"address_2": "STE 103",
"city": "TOWSON",
"state": "MD",
"postal_code": "21204",
"telephone_number": "410-296-4242",
"fax_number": "410-828-5613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SISTER PIERRE DRIVE",
"address_2": "STE 103",
"city": "TOWSON",
"state": "MD",
"postal_code": "21204",
"telephone_number": "410-296-4242",
"fax_number": "410-828-5613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOPE T VILLA JR MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VILLA",
"authorized_official_first_name": "LOPE",
"authorized_official_middle_name": "TAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-296-4242",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MD",
"license": "D15824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- 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.