Organization Active NPI

Lidia Oliveira, D.O., P.a.

  • Family Medicine Physician
  • Lake Mary, FL
National Provider Identifier
1780872176
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS6402 Issued in FL
Legal business name
LIDIA OLIVEIRA, D.O., P.A.
Practice address
917 Rinehart Rd
Ste 2001
Lake Mary, FL 32746-4802
Phone
(407) 248-9003
Fax
(407) 248-0445
NPI assigned
Oct 10, 2007
Last updated
May 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Authorized official

Name
Dr. Lidia Flores Oliveira, D.O.NPI 1912007485
Title
President
Phone
(407) 248-9003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS6402 FL Primary

Addresses

Primary practice location

917 Rinehart Rd
Ste 2001
Lake Mary, FL 32746-4802

Mailing address

PO Box 22795
Orlando, FL 32830-2795
Phone (407) 248-9003

Other identifiers 1

IdentifierTypeStateIssuer
3714012-01MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040708000937 FL Part B Supplier - Clinic/Group Practice 5193703056 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1780872176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22795",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328302795",
            "telephone_number": "407-248-9003",
            "fax_number": "407-248-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 RINEHART RD",
            "address_2": "STE 2001",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464802",
            "telephone_number": "407-248-9003",
            "fax_number": "407-248-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIDIA OLIVEIRA, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "OLIVEIRA",
        "authorized_official_first_name": "LIDIA",
        "authorized_official_middle_name": "FLORES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-248-9003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS6402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3714012-01",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.