Active NPI
Eric R Serrano, M.D.
- Specialist
- Pickerington, OH
National Provider Identifier
1508852468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 35-0642759
- Practice address
- 475 Hill Rd N
Pickerington, OH 43147-1157 - Phone
- (614) 833-5523
- Fax
- (614) 833-5523
- NPI assigned
- Sep 26, 2005
- Last updated
- Jul 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 35-0642759 | OH | Primary |
Addresses
Primary practice location
475 Hill Rd N
Pickerington, OH 43147-1157
Mailing address
475 Hill Rd N
P.O.Box # 457
Pickerington, OH 43147-1157
Phone (614) 833-5523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0918298 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-0642759 | OH | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osu Family Practice Services | Past | Accepting new patients |
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.
-
dba The Ohio State University Total Health Care Center
- Federally Qualified Health Center (FQHC)
- Columbus, OH
- NPI 1861201535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280102400000",
"number": "1508852468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 HILL RD N",
"address_2": "P.O.BOX # 457",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431471157",
"telephone_number": "614-833-5523",
"fax_number": "614-833-5523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 HILL RD N",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431471157",
"telephone_number": "614-833-5523",
"fax_number": "614-833-5523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "ERIC",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2010-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "35-0642759",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0918298",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pickerington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.