L.a. Oliverio,MD Enterprises, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME47193 Issued in FL

Legal business name

L.A. OLIVERIO,MD ENTERPRISES, INC.

Practice address

20661 Ned Love Ave
Dunnellon, FL 34431-6767

Phone

(352) 489-2401

Fax

(352) 489-2521

NPI assigned

Apr 26, 2010

Organization subpart

No

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

Authorized official

Name

L. A. Oliverio, M.D.

Title

President/Secretary and Director

Phone

(352) 489-2401

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alistair C Co, MD

  • Family Medicine Physician
  • Crystal River, FL
  • NPI 1194971028
  Medicare reassignment NPD
• Patti Sue Osborne, FNP

  • Family Nurse Practitioner
  • Ocala, FL
  • NPI 1902117716
  Medicare reassignment NPD
• Luzviminda Allarde Villaneuvo, M.D.

  • Legal Medicine
  • Dunnellon, FL
  • NPI 1528002714
  Medicare reassignment NPD

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1194042556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20661 NED LOVE AVE",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344316767",
            "telephone_number": "352-489-2401",
            "fax_number": "352-489-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20661 NED LOVE AVE",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344316767",
            "telephone_number": "352-489-2401",
            "fax_number": "352-489-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.A. OLIVERIO,MD ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "OLIVERIO",
        "authorized_official_first_name": "L.",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY AND DIRECTOR",
        "authorized_official_telephone_number": "352-489-2401",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME47193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063686000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trisha Kimball
• Miriam Koshy, DMD
• Alison Faye Koskos
• Amanda Jill Kozinko
• Samantha Nicole Kreisle, ARNP
• Amanda Lange
• Carla May Lemker, NP
• Denise McHugh Loggie, LCSW
• Caitlyn Loos, LMT
• Alysia Lucas, RCSWI

• General Practice Physician in Dunnellon, FL
• Providers in Dunnellon, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.