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
Last updated
Apr 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME0052172 FL Primary

Addresses

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

IdentifierTypeStateIssuer
10933OtherFLMEDICARE PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "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": "",
            "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.