Anthony Carmine Picchiello, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0067232 Issued in FL

Practice address

3951 South Nova Rd
Port Orange, FL 32127

Phone

(386) 763-4484

Fax

(386) 763-1288

NPI assigned

Nov 10, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Complete Wellness Chiropractic Center of Deland LLC

  • Orthopedic Chiropractor
  • Deland, FL
  • NPI 1134249618
  NPD (past)
• New Smyrna Orthopedics PA

  • Orthopaedic Surgery Physician
  • Edgewater, FL
  • NPI 1760596902
  NPD (past)
• Ottaviani Chiropractic Center LLC

  • Chiropractor
  • Port Orange, FL
  • NPI 1366639163
  NPD (past)
• Ralph J Zwolinski M D Inc

  • Medical Physician Assistant
  • Port Orange, FL
  • NPI 1174704001
  NPD (past)

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1891776399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3951 SOUTH NOVA RD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32127",
            "telephone_number": "386-763-4484",
            "fax_number": "386-763-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3951 SOUTH NOVA RD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32127",
            "telephone_number": "386-763-4484",
            "fax_number": "386-763-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCHIELLO",
        "first_name": "ANTHONY",
        "middle_name": "CARMINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0067232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "26244",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE",
            "identifier": "277195",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Phillips, FNP-BC, PMHNP-BC
• Brenda Marie Piaskowski
• Charles Piazza
• Mary Rebecca Piazza
• Gloria Picart
• Kira Anne Piccone
• Jon Pickens
• Pimendent II, PA
• Cali Pinto
• Monica Piquero

• Specialist in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.