Individual provider Active NPI

Olimpio F. Cunha, MD.

  • Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
  • Ormond Beach, FL
National Provider Identifier
1811913411
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Neuroimaging (Psychiatry & Neurology) PhysicianTaxonomy code 2084D0003X
License
ME059172 Issued in FL
Practice address
8 Mirror Lake Dr
Ste a
Ormond Beach, FL 32174-3101
Phone
(386) 673-2500
Fax
(386) 673-3204
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0059172 FL
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician 2084D0003X ME059172 FL Primary

Addresses

Primary practice location

8 Mirror Lake Dr
Ste a
Ormond Beach, FL 32174-3101

Mailing address

8 Mirror Lake Dr
Ste a
Ormond Beach, FL 32174-3101
Phone (386) 673-2500

Other identifiers 2

IdentifierTypeStateIssuer
052590100MedicaidFL
05259010MedicaidFL

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0059172FLMDSpecialist
ME059172FLMDDiagnostic Neuroimaging (Psychiatry & Neurology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1811913411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MIRROR LAKE DR",
            "address_2": "STE A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743101",
            "telephone_number": "386-673-2500",
            "fax_number": "386-673-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MIRROR LAKE DR",
            "address_2": "STE A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743101",
            "telephone_number": "386-673-2500",
            "fax_number": "386-673-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNHA",
        "first_name": "OLIMPIO",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0059172",
            "primary": false
        },
        {
            "code": "2084D0003X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": "FL",
            "license": "ME059172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052590100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05259010",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.