Mario Bation Siasoyco, RN

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

RN9525907 Issued in FL

Practice address

2115 Morgan Wieland LN Apt 202
Lakeland, FL 33813-3181

Phone

(863) 617-3332

NPI assigned

Jan 10, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reach Therapy and Wellness

  • Physical Therapist
  • Lakeland, FL
  • NPI 1891317715
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1104466705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 MORGAN WIELAND LN APT 202",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133181",
            "telephone_number": "863-617-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 MORGAN WIELAND LN APT 202",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133181",
            "telephone_number": "863-617-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIASOYCO",
        "first_name": "MARIO",
        "middle_name": "BATION",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "FL",
            "license": "RN9525907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley H Shrom, M.D.
• Kathy J Shufflebarger, P.T.
• Caitlin Shultz
• Chad Michael Shultz, RBT
• Ellen Si, MD
• Severo Bation Siasoyco II, P.T.
• Juliet Sicca
• Monte R Sichelman, MD
• Atif Ahmed Siddique, DO
• Abul Fazal Siddiqui

• Infusion Therapy Registered Nurse in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Infusion Therapy Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.