Individual provider Active NPI

Lawrence Pierre Serrano, MD

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1053388918
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
17088 Issued in AZ
Practice address
1850 N Central Ave
Ste1600
Phoenix, AZ 85004-4527
Phone
(602) 744-4765
Fax
(602) 744-4799
NPI assigned
Feb 28, 2006
Last updated
Oct 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 17088 AZ Primary

Addresses

Primary practice location

1850 N Central Ave
Ste1600
Phoenix, AZ 85004-4527

Mailing address

1850 N Central Ave
Ste1600
Phoenix, AZ 85004-4527
Phone (602) 744-4765

Other identifiers 2

IdentifierTypeStateIssuer
050084683OtherMEDICARE RAILROAD
372186MedicaidAZ

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20101105000672 AZ Practitioner - Anesthesiology 5092712893 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17088AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Anesthesiology Consultants, Inc. Anesthesiology CurrentSince Nov 1, 2001 Accepting new patients
Anesthesia Partners of Arizona LLC Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients

Locations

10815 W McDowell Rd
Ste 101
Avondale, AZ 85392
Phone (623) 433-0110

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

5555 W Thunderbird Rd
Ste 150
Glendale, AZ 85306
Phone (602) 588-5475

7330 N 99th Ave
Ste 100
Glendale, AZ 85307
Phone (623) 879-6110

1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098

13640 N Plaza del Rio Blvd
Ste 135
Peoria, AZ 85381
Phone (602) 424-4050

6790 W Thunderbird Rd
Peoria, AZ 85381
Phone (523) 979-1717

1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760

2901 N Central Ave
Ste 500
Phoenix, AZ 85012
Phone (602) 744-4765

4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443

645 E Missouri Ave
Ste 300
Phoenix, AZ 85012
Phone (602) 262-8917

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

9301 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 213-7407

14416 W Meeker Blvd
Ste 103
Sun City West, AZ 85375
Phone (602) 670-1613

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1053388918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 N CENTRAL AVE",
            "address_2": "STE1600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044527",
            "telephone_number": "602-744-4765",
            "fax_number": "602-744-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N CENTRAL AVE",
            "address_2": "STE1600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044527",
            "telephone_number": "602-744-4765",
            "fax_number": "602-744-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "LAWRENCE",
        "middle_name": "PIERRE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "17088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "050084683",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372186",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.