Organization Active NPI

Dr. Julio Olivieri & Associates

  • Internal Medicine Physician
  • Kaufman, TX
National Provider Identifier
1497057012
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K2549 Issued in TX
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

Updated by the provider on Dec 9, 2010

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
111912503MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.