Organization Active NPI

B.J. Anarumo, D.O.,P.a.

  • Pediatrics Physician
  • Port Charlotte, FL
National Provider Identifier
1245456383
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OS 5876 Issued in FL
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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.NPI 1740341700
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
372578200MedicaidFL
316596OtherFLSTAYWELL (WELLCARE) PC
4244457OtherFLAETNA
372578201MedicaidFL
316750OtherFLSTAYWELL (WELLCARE) NP
80697OtherFLBLUE CROSS BLUE SHIELD
650392281OtherFLHUMANA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.