O.Serrano, M.D. PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

29877 Issued in AZ

Legal business name

O.SERRANO, M.D. PLLC

Practice address

37100 N Gantzel Rd
San Tan Valley, AZ 85140-7349

Phone

(480) 461-1135

Fax

(480) 461-1138

NPI assigned

Oct 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Oluwagbenga Serrano, M.D.NPI 1235131806

Title

President

Phone

(480) 461-1135

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oluwagbenga Serrano, MD

  • Gastroenterology Physician
  • Vincennes, IN
  • NPI 1235131806
  NPD Authorized official

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1114201290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5027",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852115027",
            "telephone_number": "480-461-1135",
            "fax_number": "480-461-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37100 N GANTZEL RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407349",
            "telephone_number": "480-461-1135",
            "fax_number": "480-461-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O.SERRANO, M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "OLUWAGBENGA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-461-1135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "29877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "639396",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Non Emergency Transportation LLC
• Jovanna A Noriega
• Nova Health Integrated LLC
• Essence Nowak-Satterwhite
• Caroline Bitutu Nyakweba, FNP
• Megan O'Neal, LCSW
• Michael Patrick Oconnor, M.D.
• Chantelle Ezinne Okoye, LPC
• Josie Gemarie de Leon Oliva, DDS
• Charity Olson

• Gastroenterology Physician in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Gastroenterology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.