Dr Jose Maria Villacorta Jr, MD | |
8401 Market St, Boardman, OH 44512-6725 | |
(330) 729-7960 | |
Not Available |
Full Name | Dr Jose Maria Villacorta Jr |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 8401 Market St, Boardman, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740741891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A182696 (California) | Primary |
Entity Name | Can Emergency Physicians Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265810006 PECOS PAC ID: 8820304462 Enrollment ID: O20150827002595 |
Entity Name | Em Alliance California Apc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376305755 PECOS PAC ID: 1951749894 Enrollment ID: O20240410003580 |
Mailing Address | Practice Location Address |
---|---|
Dr Jose Maria Villacorta Jr, MD 790 Bridgeport Ave Apt 303, Streetsboro, OH 44241-4065 Ph: (310) 806-3064 | Dr Jose Maria Villacorta Jr, MD 8401 Market St, Boardman, OH 44512-6725 Ph: (330) 729-7960 |
Christina Brooke Walker, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8423 Market St, Boardman, OH 44512 Phone: 330-729-8757 Fax: 330-729-7616 | |
Dr. Alexander William Maione, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-2929 | |
Allyson Dryer, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-2929 | |
Craig Mcdonough, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-8757 | |
Norhan Sharaf, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 954-260-2929 | |
William K Nowotny, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6505 Market St, Boardman, OH 44512 Phone: 330-726-2100 | |
Dr. Katherine Mitry, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-2929 |