James W Serene, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD430198 Issued in PA

Practice address

150 Brandywine Dr
State College, PA 16801-7972

Phone

(814) 861-3251

NPI assigned

Jan 9, 2006

Last updated

Oct 16, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1427036466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BRANDYWINE DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BRANDYWINE DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017972",
            "telephone_number": "814-861-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERENE",
        "first_name": "JAMES",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD430198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD430198",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey A Senior, DMD
• Jenna A Senior, D.M.D
• Paul Richard Sensiba, MD
• Rodney M Sepich, MD
• Tracy C Sepich, OD
• Serenity Wellness Centre, LLC
• Abhishek Seth, MD
• Katherine Allison Shaak, LAT, ATC, PES
• Leonard Shamus, NP
• Justine Shaner, PTA

• Orthopaedic Surgery Physician in State College, PA
• Providers in State College, PA by specialty
• Orthopaedic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.