Serge Marinkovic, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD200543 Issued in LA

Legal business name

SERGE MARINKOVIC, MD

Practice address

4540 Ambassador Caffery Pkwy
Ste a-220
Lafayette, LA 70508-6928

Phone

(337) 504-2671

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Serge Marinkovic, MD

Title

Owner

Phone

(337) 504-2671

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1023295391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 AMBASSADOR CAFFERY PKWY",
            "address_2": "STE A-220",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086928",
            "telephone_number": "337-504-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 AMBASSADOR CAFFERY PKWY",
            "address_2": "STE A-220",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086928",
            "telephone_number": "337-504-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGE MARINKOVIC, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "MARINKOVIC",
        "authorized_official_first_name": "SERGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-504-2671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "LA",
            "license": "MD200543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1093705501",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serenity Square LLC
• Serenity Square LLC
• Serenity Square LLC
• Serenity Square LLC
• Serenity Square LLC
• Serge P Marinkovic MD Female Reconstructive Surgery LLC
• Joseph Serio, M.D.
• Sara Sibley Serio, MD
• Lisa D Settles, PSY.D.
• Lena Opitz Sevin, PA-C

• Urology Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Urology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.