Individual provider Active NPI

Maria T Olivero, MD

  • Allergy Physician
  • St Petersburg, FL
National Provider Identifier
1689617763
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
ME0064124 Issued in FL
Practice address
4401 4TH St North
St Petersburg, FL 33703
Phone
(727) 528-1933
Fax
(727) 526-2979
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X ME0064124 FL Primary

Addresses

Primary practice location

4401 4TH St North
St Petersburg, FL 33703

Mailing address

4401 4TH St North
St Petersburg, FL 33703
Phone (727) 528-1933

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100730000793 FL Practitioner - Allergy/Immunology 4284616079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Temple University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brett E. Stanaland, M.D., P.a.Group PAC ID 2163559568, 2 clinicians

Practice addresses (Care Compare)

1000 Goodlette N Rd
Suite 200
Naples, FL 34102-5474
Phone (239) 434-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0064124FLMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brett E. Stanaland, M.D., P.a. Allergy CurrentSince Aug 15, 2016 Accepting new patients
David Greene MD LLC PastSince Aug 15, 2016 Accepting new patients

Locations

1000 Goodlette Rd
Ste 200
Naples, FL 34102
Phone (239) 434-6200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689617763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 4TH ST NORTH",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33703",
            "telephone_number": "727-528-1933",
            "fax_number": "727-526-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 4TH ST NORTH",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33703",
            "telephone_number": "727-528-1933",
            "fax_number": "727-526-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERO",
        "first_name": "MARIA",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "FL",
            "license": "ME0064124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.