Dr. Omar Mijael Villarroel Fernandez
MD | Pediatrics | Male
Dr. Omar Mijael Villarroel Fernandez, MD is a Rockford, Illinois based Pediatric doctor with medical specialization in
General Pediatrics. Dr. Omar Mijael Villarroel Fernandez is also known as
Omar Mijael Villarroel.
Current practice location of Dr. Omar Mijael Villarroel Fernandez is
1401 E State St, 3rd Floor, Rockford, Illinois - 61104-2315. He can be contacted on phone at
912-658-1155.
Dr. Omar Mijael Villarroel Fernandez is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Omar Mijael Villarroel Fernandez is
1457325334 which was assigned by NPPES on 15 Feb, 2006 and it was last updated on 11 Aug, 2022.
Dr. Omar Mijael Villarroel Fernandez license number is
2018018492 for Pediatrics (208000000X) in Missouri.
Dr. Omar Mijael Villarroel Fernandez is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Omar Mijael Villarroel Fernandez basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Omar Mijael Villarroel Fernandez |
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| Other Name : | Omar Mijael Villarroel |
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| Credential : | MD |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Omar Mijael Villarroel Fernandez 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 : | 1401 E State St, 3rd Floor
Rockford, IL, 61104-2315
United States |
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| Phone Number : | 912-658-1155 |
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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 : | 1457325334 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Feb, 2006 |
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| Last Updated On : | 11 Aug, 2022 |
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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 Dr. Omar Mijael Villarroel Fernandez are as mentioned. Primary taxonomy code for Dr. Omar Mijael Villarroel Fernandez, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208M00000X | Hospitalist | No | 058592 | GA |
| 208M00000X | Hospitalist | No | 036117065 | IL |
| 208M00000X | Hospitalist | No | M-16558 | ID |
| 208000000X | Pediatrics | Yes | 2018018492 | MO |
| 208000000X | Pediatrics | No | 2008-01887 | NC |
| 208000000X | Pediatrics | No | MD2005-0619 | NM |
| 208000000X | Pediatrics | No | 058592 | GA |
| 208000000X | Pediatrics | No | 036117065 | IL |
| 208M00000X | Hospitalist | No | 2018018492 | MO |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1055 N CURTIS RD,
BOISE, ID, 83706-1309
United States | BOISE, ID | 208-367-6995 |
751 SAPPINGTON BRIDGE RD,
SULLIVAN, MO, 63080-2354
United States | SULLIVAN, MO | 573-468-4186 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
FHIR
(FHIR URL) | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
BJC | No affiliation | HIE
Health Information Exchange (HIE)
| CSV
CSV
| 751 SAPPINGTON BRIDGE RD,
SULLIVAN, MO, 63080-2354
United States |
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 : | 200 Corporate Blvd
Lafayette, LA, 70508-3870
United States |
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| Phone Number : | 800-893-9698 |
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Business Location:
Patients can refer following map for directions to
Dr. Omar Mijael Villarroel Fernandez practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.