Luciano Serdoz, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

WV166 Issued in WV

Practice address

100 N Heights Dr
Beckley, WV 25801-2666

Phone

(304) 253-3372

Fax

(304) 253-6685

NPI assigned

Sep 20, 2006

Last updated

Jan 28, 2008By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1144328659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N HEIGHTS DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012666",
            "telephone_number": "304-253-3372",
            "fax_number": "304-253-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N HEIGHTS DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012666",
            "telephone_number": "304-253-3372",
            "fax_number": "304-253-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERDOZ",
        "first_name": "LUCIANO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WV",
            "license": "WV166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100191000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Beckley, WV
• Providers in Beckley, WV by specialty
• Podiatrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.