Active NPI
B.J. Anarumo, D.O.,P.a.
- Pediatrics Physician
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS 5876
- Legal business name
- B.J. ANARUMO, D.O.,P.A.
- Practice address
- 18308 Murdock Cir Unit 103
Port Charlotte, FL 33948-1025 - Phone
- (941) 629-3618
- Fax
- (941) 629-9809
- NPI assigned
- Apr 17, 2007
- Last updated
- Dec 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Beverly Joy Anarumo, D.O.
- Title
- Physician, President
- Phone
- (941) 629-3618
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS 5876 | FL | Primary |
Addresses
Primary practice location
18308 Murdock Cir Unit 103
Port Charlotte, FL 33948-1025
Mailing address
18308 Murdock Cir Unit 103
Port Charlotte, FL 33948-1025
Phone (941) 629-3618
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 372578200 | Medicaid | FL | |
| 316596 | Other | FL | STAYWELL (WELLCARE) PC |
| 4244457 | Other | FL | AETNA |
| 372578201 | Medicaid | FL | |
| 316750 | Other | FL | STAYWELL (WELLCARE) NP |
| 80697 | Other | FL | BLUE CROSS BLUE SHIELD |
| 650392281 | Other | FL | HUMANA |
National Provider Directory
National Provider DirectoryLocations
18308 Murdock Cir
Unit 103
Port Charlotte, FL 33948
Phone (941) 629-3618
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Port Charlotte, FL
- NPI 1740341700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323734400000",
"number": "1245456383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18308 MURDOCK CIR UNIT 103",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481025",
"telephone_number": "941-629-3618",
"fax_number": "941-629-9809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18308 MURDOCK CIR UNIT 103",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481025",
"telephone_number": "941-629-3618",
"fax_number": "941-629-9809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B.J. ANARUMO, D.O.,P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2011-12-13",
"status": "A",
"authorized_official_last_name": "ANARUMO",
"authorized_official_first_name": "BEVERLY",
"authorized_official_middle_name": "JOY",
"authorized_official_title_or_position": "PHYSICIAN, PRESIDENT",
"authorized_official_telephone_number": "941-629-3618",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "OS 5876",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "372578200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAYWELL (WELLCARE) PC",
"identifier": "316596",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4244457",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "372578201",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAYWELL (WELLCARE) NP",
"identifier": "316750",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "80697",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "650392281",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.