Mario C Oliva, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME107459 Issued in FL

Practice address

1565 State St
Sarasota, FL 34236-5808

Phone

(941) 927-8900

NPI assigned

Feb 5, 2007

Last updated

Feb 4, 2015By 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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Oklahoma College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Step of Sarasota IncGroup PAC ID 9830324169, 7 clinicians

North Port BH LLCGroup PAC ID 2961935622, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lightshare Behavioral Wellness and Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Sarasota, FL
  • NPI 1578551198
  Medicare reassignment Care Compare group NPD
• North Port BH, LLC

  dba North Port Behavioral Health

  • Psychiatric Hospital
  • North Port, FL
  • NPI 1063258598
  Medicare reassignment Care Compare group
• Charlotte Behavioral Health Care Inc

  • Mental Health Counselor
  • Punta Gorda, FL
  • NPI 1760460653
  Medicare reassignment NPD
• Hni Medical Services of Florida, LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1679048284

  Psychiatry

  Medicare reassignment NPD
• Lightshare Behavioral Wellness and Recovery

  • Community/Behavioral Health Agency
  • Venice, FL
  • NPI 1710557830
  NPD (past)
• Lightshare Behavioral Wellness and Recovery

  • Community/Behavioral Health Agency
  • Sarasota, FL
  • NPI 1942566674
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1790824936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 STATE ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365808",
            "telephone_number": "941-927-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 STATE ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365808",
            "telephone_number": "941-927-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVA",
        "first_name": "MARIO",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME107459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma A Olea
• Nancy Olevson
• Blesilda Hidalgo Olfato, MD
• Wayne Olges, DMD
• Jose Luis Oliva, PT
• Vilma Oliva
• Jennifer Olivares, DDS
• Phillip V Oliver, CRNA
• Sarah Amy Oliver, PTA
• Teresa Oliver, LMT

• Psychiatry Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.