Benedito Soares Oliveira, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

15100 Rescue Way
Clearwater, FL 33762-3502

Phone

(172) 753-5143

NPI assigned

Jan 30, 2023

Last updated

Feb 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Urgent Care ServicesGroup PAC ID 2961628615, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Urgent Care Services

  • Urgent Care Clinic/Center
  • St Petersburg, FL
  • NPI 1407283468
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1497461636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6413 VITEX LN",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968187091",
            "telephone_number": "508-736-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 RESCUE WAY",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623502",
            "telephone_number": "172-753-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVEIRA",
        "first_name": "BENEDITO",
        "middle_name": "SOARES",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Okwudilichukwu Okpalaeze, PHARMD.
• Christopher Oldfield, AU.D.
• Olemc LLC
• Olesen Logistical Management Group, Inc
• Olive Medical Solutions, Inc.
• Luis Gustavo Oliveira, DPT
• Avery Oliver, MPH, RDN
• Alix Taylor Olsen, PA
• Dane Olsen, PAC
• Sue Olsen

• Medical Physician Assistant in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.