Organization Active NPI

Mark O. Asperilla M.D.P.a.

  • Infectious Disease Physician
  • Port Charlotte, FL
National Provider Identifier
1336313758
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME0052172 Issued in FL
Legal business name
MARK O. ASPERILLA M.D.P.A.
Practice address
3300 Tamiami TRL
Ste.102a
Port Charlotte, FL 33952-8054
Phone
(941) 624-4499
Fax
(941) 624-0212
NPI assigned
Apr 16, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Mark Olivares Asperilla, M.D.
Title
President-Owner
Phone
(941) 624-4499

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X ME0052172 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

3300 Tamiami TRL
Ste.102a
Port Charlotte, FL 33952-8054

Mailing address

3300 Tamiami TRL
Ste.102a
Port Charlotte, FL 33952-8054
Phone (941) 624-4499

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
10933OtherFLMEDICARE PTAN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 16, 2008.

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1336313758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 TAMIAMI TRL",
            "address_2": "STE.102A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528054",
            "telephone_number": "941-624-4499",
            "fax_number": "941-624-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 TAMIAMI TRL",
            "address_2": "STE.102A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528054",
            "telephone_number": "941-624-4499",
            "fax_number": "941-624-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK O. ASPERILLA M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "ASPERILLA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "OLIVARES",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "941-624-4499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME0052172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "10933",
            "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 Apr 16, 2008; 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.