Stephanie Marie Serenko, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009477 Issued in MI

Practice address

8152 25 Mile Rd Ste E
Shelby Township, MI 48316

Phone

(586) 992-6960

Fax

(586) 992-6962

NPI assigned

Feb 26, 2009

Last updated

Aug 8, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Spinal Solutions Chiropractic and Wellness Center PLLC

  • Chiropractor
  • Shelby Township, MI
  • NPI 1730401340
  Medicare reassignment NPD Authorized official
• Medcare Inc

  dba Spinal Recovery Center

  • Rehabilitation Chiropractor
  • Warren, MI
  • NPI 1265713242
  Medicare reassignment NPD
• Brostek Family Chiropractic PLLC

  • Chiropractor
  • Shelby TWP, MI
  • NPI 1770018475
  NPD (past)

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1689814931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W DRYDEN RD",
            "city": "METAMORA",
            "state": "MI",
            "postal_code": "484558901",
            "telephone_number": "810-678-3730",
            "fax_number": "810-678-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8152 25 MILE RD STE E",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "48316",
            "telephone_number": "586-992-6960",
            "fax_number": "586-992-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERENKO",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-26",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20120713513870",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Secure Mobility, L.L.C.
• Brittany Marie Seguin
• Courtney Selby
• Stanley J Selengowski, CSA
• Dragana Serafimovski
• Veronica Kemerko Sesi, D.O.
• Michelle Sgrazzutti, COTAL
• Kelly Shafer, NP
• Kamora Shahid
• Angelina Marie Shakouri

• Chiropractor in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.