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Deactivated NPI 1811041155 Deactivated / Inactive NPI Male Practitioner

Dr. Ceferino Reyes Villa Fuerte , MD

General Practice • Corinth, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ceferino Villa Fuerte has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 23, 2007
NPI Deactivation Date April 24, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Ceferino Villa Fuerte, MD was a registered General Practice practicing in Corinth, NY. Throughout an active medical career spanning 18 years, Dr. Villa Fuerte provided care at the practice location at 200 SMITH DRIVE until profile deactivation on 2025-04-24.

Practice Location & Contact Primary Location

Practice Address

200 Smith Drive
Adirondack Clinic

Corinth, NY 12822

Telephone 5186547680
Fax 5186547693
Associated Practice Facility / Clinic
🏢 Nys Opwdd Facility NPI 1053880906

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Corinth, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Corinth, NY (818 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NY NY105492

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Megan King , FNP-BC

Nurse Practitioner - Primary Care

NPI 1043821424

Family Nurse Practitioner (Board Certified)

Jacklynn Brown , RPA-C

Physician Assistant - Medical

NPI 1164424164

RPAC

Debra Eggleston , RN

Registered Nurse

NPI 1174659106

Registered Nurse

NPI 1184751661

Doctor of Medicine (M.D.)

Robert Carney , PHYSICAL THERAPIST

Physical Therapy Assistant

NPI 1316073323

PHYSICALTHERAPIST

Dr. William Kelley , MD

Internal Medicine

NPI 1366650871

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 24, 2025

Record deactivated on April 24, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 200 SMITH DRIVE, ADIRONDACK CLINIC, CORINTH, NY 12822 (Tel: 5186547680)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 220, 133 EAST MAIN ST, CAMBRIDGE, NY 12816 (Tel: 5186775723)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CEFERINO VILLA FUERTE, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #NY105492 in NY)

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Initial NPI Registration & Enumeration January 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811041155
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2007
Last Update: July 08, 2007
Deactivation Date: April 24, 2025

Mailing Address

Po Box 220, 133 East Main St

Cambridge, NY 12816

Phone: 5186775723

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.