Active NPI
Dr. Julio Olivieri & Associates
- Internal Medicine Physician
- Kaufman, TX
National Provider Identifier
1497057012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- K2549
- Legal business name
- DR. JULIO OLIVIERI & ASSOCIATES
- Practice address
- 874 Ed Hall Dr Ste 102-103
Kaufman, TX 75142-1861 - Phone
- (972) 932-4345
- Fax
- (972) 932-8736
- NPI assigned
- Dec 2, 2010
- 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
- Mr. Orlando Rubang Dizon
- Title
- Administrator
- Phone
- (972) 932-4345
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K2549 | TX | Primary |
Addresses
Primary practice location
874 Ed Hall Dr Ste 102-103
Kaufman, TX 75142-1861
Mailing address
874 Ed Hall Dr Ste 102-103
Kaufman, TX 75142-1861
Phone (972) 932-4345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111912503 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
874 Ed Hall Dr
Ste 102103
Kaufman, TX 75142
Phone (972) 932-4345
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Kaufman, TX
- NPI 1548583743
-
- Internal Medicine Physician
- Mesquite, TX
- NPI 1881605780
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291852800000",
"number": "1497057012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "874 ED HALL DR STE 102-103",
"city": "KAUFMAN",
"state": "TX",
"postal_code": "751421861",
"telephone_number": "972-932-4345",
"fax_number": "972-932-8736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "874 ED HALL DR STE 102-103",
"city": "KAUFMAN",
"state": "TX",
"postal_code": "751421861",
"telephone_number": "972-932-4345",
"fax_number": "972-932-8736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. JULIO OLIVIERI & ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-02",
"last_updated": "2010-12-09",
"status": "A",
"authorized_official_last_name": "DIZON",
"authorized_official_first_name": "ORLANDO",
"authorized_official_middle_name": "RUBANG",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "972-932-4345",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "K2549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111912503",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kaufman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.