JASON DAVID VILLA NPI 1629436548

NPI Information

NPI: 1629436548
Provider Name: JASON DAVID VILLA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: COMPREHENSIVE COMMUNITY ACTION, INC.

PECOS Registration: Yes

Address:
2701 TAMARACK AVE
SOUTH WINDSOR, CT
ZIP 06074
Phone: (860) 375-5141
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Jason David Villa is a medical physician assistant in South Windsor, CT with 9 years of experience. Jason David Villa NPI is 1629436548. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2701 TAMARACK AVE
SOUTH WINDSOR, CT
ZIP 06074-561
Phone: (860) 375-5141

The NPI 1629436548 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/6/2016 and was last updated on 4/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA00927	RHODE ISLAND	No
2	363AM0700X	Physician Assistant	Medical	23.003522	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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