John Serpa MD P.a

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

ME79847 Issued in FL

Legal business name

JOHN SERPA MD P.A

Practice address

1800 W 68TH St Ste 115
Hialeah, FL 33014-4406

Phone

(305) 698-9077

Fax

(305) 698-9077

NPI assigned

Aug 31, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John A Serpa, MDNPI 1407836232

Title

Physician

Phone

(305) 698-9077

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• John A. Serpa, MD

  • Pain Medicine (Anesthesiology) Physician
  • Hialeah, FL
  • NPI 1407836232
  Medicare reassignment Care Compare group Authorized official
• Armando Gonzalez, ARNP

  • Nurse Practitioner
  • Hialeah, FL
  • NPI 1558883744
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1508147885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W 68TH ST STE 115",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144406",
            "telephone_number": "305-698-9077",
            "fax_number": "305-698-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W 68TH ST STE 115",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144406",
            "telephone_number": "305-698-9077",
            "fax_number": "305-698-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN SERPA MD P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "SERPA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-698-9077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME79847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262296300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ada Laura Joa Ybarra
• Michael Jochananov, PSY.D
• Jochys Pharmacy Inc
• Joes Pharmacy Inc
• John P. Marion, D.P.M., P.a.
• Saji Mathew John, RPH
• Billy Johnston
• Adrian Jola Mendez
• Claudia Jomolca Tapia
• Jon B. Gallinatti DPM,PA

• Pain Medicine Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.