Ivan A. Villalta-wehmeyer
M.D. | Pediatric Neonatal-Perinatal Medicine | Male
Ivan A. Villalta-wehmeyer, M.D. is a Hammond, Louisiana based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Ivan A. Villalta-wehmeyer is
15790 Paul Vega Md, Dr, Hammond, Louisiana - 70403. He can be contacted on phone at
985-230-6900 and fax number 985-230-6531.
Ivan A. Villalta-wehmeyer is a sole proprietor of his business.
NPI number (Unique professional ID) for Ivan A. Villalta-wehmeyer is
1932278181 which was assigned by NPPES on 06 Nov, 2006 and it was last updated on 22 May, 2018.
Ivan A. Villalta-wehmeyer license number is
MD06771R for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Louisiana.
Ivan A. Villalta-wehmeyer is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Ivan A. Villalta-wehmeyer basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Ivan A. Villalta-wehmeyer |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Ivan A. Villalta-wehmeyer address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 15790 Paul Vega Md, Dr
Hammond, LA, 70403
United States |
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| Phone Number : | 985-230-6900 |
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| Fax Number : | 985-230-6531 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1932278181 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Nov, 2006 |
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| Last Updated On : | 22 May, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ivan A. Villalta-wehmeyer are as mentioned. Primary taxonomy code for Ivan A. Villalta-wehmeyer, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | 01032685A | IN |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | MD06771R | LA |
Legacy Identifiers:
Other legacy medical identifiers of Ivan A. Villalta-wehmeyer such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1392995 | MEDICAID | LA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 39359 Bay Dr
Ponchatoula, LA, 70454-6657
United States |
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| Phone Number : | 985-230-6900 |
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| Fax Number : | 985-230-6531 |
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Business Location:
Patients can refer following map for directions to
Ivan A. Villalta-wehmeyer practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.