Mdi Medical Group PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MDI MEDICAL GROUP PC

Practice address

852 Pontiac St
Denver, CO 80220-4826

Phone

(816) 679-2211

NPI assigned

Jun 20, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Marc Serota, MD

Title

Ceo

Phone

(816) 679-2211

Specialties & licenses 1

Addresses

Practitioners 1

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

• Marcjonathan Serota, M.D.

  • Dermatology Physician
  • Littleton, CO
  • NPI 1740410463
  NPD

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1457036295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 PONTIAC ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204826",
            "telephone_number": "816-679-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 PONTIAC ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204826",
            "telephone_number": "816-679-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDI MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "SEROTA",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-679-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke McVey, RD
• Eli McVey
• Laura McVoy
• Kelly Lynn McWilliams, MD
• Michele Yvonne McWilliams
• MDK, LLC
• Mdy Transportation LLC
• Me Physical Therapy
• Me Pivot Holdings, LLC
• Abigail Ann Meacham

• Multi-Specialty Clinic/Center in Denver, CO
• Providers in Denver, CO by specialty
• Multi-Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.