Individual provider Active NPI

Felipe Olivero

  • Surgical Technologist
  • Safety Harbor, FL
National Provider Identifier
1134318280
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
87043 Issued in FL
Practice address
1800 Mease Dr
Safety Harbor, FL 34695-4659
Phone
(727) 669-5300
Fax
(727) 669-5366
NPI assigned
Oct 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 87043 FL Primary

Addresses

Primary practice location

1800 Mease Dr
Safety Harbor, FL 34695-4659

Mailing address

1800 Mease Dr
Safety Harbor, FL 34695-4659
Phone (727) 669-5300

Other identifiers 1

IdentifierTypeStateIssuer
87043OtherFLLISCENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
87043FLMDSurgical Technologist

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGJCDD/Endpoint/GGJCDD

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1134318280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MEASE DR",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346954659",
            "telephone_number": "727-669-5300",
            "fax_number": "727-669-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MEASE DR",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346954659",
            "telephone_number": "727-669-5300",
            "fax_number": "727-669-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERO",
        "first_name": "FELIPE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "FL",
            "license": "87043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENSE",
            "identifier": "87043",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.