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JOSE R VILLAVICENCIO MD
NPI 1265483580
Internal Medicine in Logan, OH

Active since May 12, 2006
601 ST RT 664, LOGAN, OH 43138(740) 380-8000 Get Directions Write a Review

NPPES record last updated: May 29, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jose R Villavicencio Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE R VILLAVICENCIO MD (NPI 1265483580) is an individual internal medicine provider in Logan, Ohio, licensed in Ohio (35069935V) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1265483580
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSE R VILLAVICENCIOCredential: MD
Location Address601 ST RT 664Logan, OH 43138
Mailing Address4750 Hempstead Station DrKettering, OH 45429-5164 · (800) 875-0136 · Fax (937) 619-4304
Phone(740) 380-8000
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateMay 29, 2008
✔ NPI 1265483580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35069935V
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
601 ST RT 664, Logan, OH 43138
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Other Identifiers 5

Other000000326505Bcbs
Medicare UPINF37637
OtherP00139007Hocking Medicare Rr
Medicare ID-Type UnspecifiedVI4014078
Medicare ID-Type Unspecified0386372OH

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Villavicencio's NPI number?

The NPI number for Jose Villavicencio is 1265483580. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Jose Villavicencio located?

Jose Villavicencio practices at 601 St Rt 664, Logan, OH 43138. The listed phone number is (740) 380-8000.

What is Jose Villavicencio's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Jose Villavicencio was last updated on May 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.