Individual provider Active NPI

Allison O'Boynick Serrano, PA-C

  • Medical Physician Assistant
  • Merriam, KS
National Provider Identifier
1164794368
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
15-01464 Issued in KS
Practice address
9301 W 74TH St
Ste 225
Merriam, KS 66204-2207
Phone
(913) 831-1003
Fax
(913) 831-4801
NPI assigned
Feb 2, 2012
Last updated
Jan 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 15-01464 KS Primary

Addresses

Primary practice location

9301 W 74TH St
Ste 225
Merriam, KS 66204-2207

Mailing address

9301 W 74TH St
Ste 225
Merriam, KS 66204-2207
Phone (913) 831-1003

Other names 1

  • Allison M O'Boynick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121004000409 KS Practitioner - Physician Assistant 3072762137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Urology Care PAGroup PAC ID 9032006853, 71 clinicians

Practice addresses (Care Compare)

10701 Nall Ave
Suite 100
Overland Park, KS 66211-1244
Phone (913) 341-7985

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-01464KSMDMedical Physician Assistant

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1164794368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 W 74TH ST",
            "address_2": "STE 225",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042207",
            "telephone_number": "913-831-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 W 74TH ST",
            "address_2": "STE 225",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042207",
            "telephone_number": "913-831-1003",
            "fax_number": "913-831-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "ALLISON",
        "middle_name": "O'BOYNICK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-01464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "O'BOYNICK",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Merriam, KS

Sources for this page

Verify at the official NPI Registry.