Active NPI
Beverly J Anarumo, D.O.
- Pediatrics Physician
- Port Charlotte, FL
National Provider Identifier
1740341700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS5876
- Practice address
- 1655 Tamiami TRL
BLDG 6
Port Charlotte, FL 33948-1042 - Phone
- (941) 629-3618
- Fax
- (941) 629-9809
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS5876 | FL | Primary |
Addresses
Primary practice location
1655 Tamiami TRL
BLDG 6
Port Charlotte, FL 33948-1042
Mailing address
1655 Tamiami TRL
BLDG 6
Port Charlotte, FL 33948-1042
Phone (941) 629-3618
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 316596 | Other | FL | STAYWELL (WELLCARE) PC |
| 316750 | Other | FL | STAYWELL (WELLCARE) NP |
| 650932281 | Other | FL | HUMANA |
| 650932281 | Other | FL | UNITED HEALTHCARE |
| 650932281 | Other | FL | BEECH STREET |
| 4244457 | Other | FL | AETNA |
| 650932281 | Other | FL | CIGNA |
| 650932281 | Other | FL | EVOLUTIONS |
| 372578201 | Medicaid | FL | |
| 80697 | Other | FL | BLUE CROSS BLUE SHIELD |
| 650932281 | Other | FL | HUMANA MILITARY |
| 372578200 | Medicaid | FL | |
| 650932281 | Other | FL | PRIVATE HEALTHCARE SYSTEM |
Other names 1
- B J Anarumo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS5876 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B.J. Anarumo, D.O.,P.a. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Port Charlotte, FL
- NPI 1245456383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1740341700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 TAMIAMI TRL",
"address_2": "BLDG 6",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481042",
"telephone_number": "941-629-3618",
"fax_number": "941-629-9809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 TAMIAMI TRL",
"address_2": "BLDG 6",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481042",
"telephone_number": "941-629-3618",
"fax_number": "941-629-9809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANARUMO",
"first_name": "BEVERLY",
"middle_name": "J",
"name_prefix": "Miss",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "OS5876",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAYWELL (WELLCARE) PC",
"identifier": "316596",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAYWELL (WELLCARE) NP",
"identifier": "316750",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "650932281",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "650932281",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECH STREET",
"identifier": "650932281",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4244457",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "650932281",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVOLUTIONS",
"identifier": "650932281",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "372578201",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "80697",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA MILITARY",
"identifier": "650932281",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "372578200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "650932281",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "B",
"last_name": "ANARUMO",
"middle_name": "J",
"credential": "D.O., P.A.",
"code": "2",
"type": "Professional Name"
}
]
}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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.