Individual provider Active NPI

Nazareth V Asorian, D.O.

  • Surgery Physician
  • Cape Coral, FL
National Provider Identifier
1225460231
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20A 10731 Issued in CA
Practice address
2407 SW 46TH St
Cape Coral, FL 33914-6738
Phone
(239) 233-7238
Fax
(239) 542-5126
NPI assigned
Jul 31, 2013
Last updated
Jul 31, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 20A 10731 CA Primary
Surgery Physician 208600000X 01280 KY
Surgery Physician 208600000X 25MB05799800 NJ

Addresses

Primary practice location

2407 SW 46TH St
Cape Coral, FL 33914-6738

Mailing address

2407 SW 46TH St
Cape Coral, FL 33914-6738
Phone (239) 233-7238

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
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A 10731CAMDSurgery Physician
01280KYMDSurgery Physician
25MB05799800NJMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1225460231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 SW 46TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339146738",
            "telephone_number": "239-233-7238",
            "fax_number": "239-542-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 SW 46TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339146738",
            "telephone_number": "239-233-7238",
            "fax_number": "239-542-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASORIAN",
        "first_name": "NAZARETH",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A 10731",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "01280",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MB05799800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.