Individual provider Active NPI

Serrina Marie Yozsa, DPM

  • Podiatrist
  • Scottsdale, AZ
National Provider Identifier
1720065113
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0514 Issued in AZ
Practice address
3501 N Scottsdale Rd Ste 246
Scottsdale, AZ 85251-5630
Phone
(480) 994-3668
Fax
(480) 663-8110
NPI assigned
Dec 27, 2005
Last updated
Mar 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0514 AZ Primary

Addresses

Primary practice location

3501 N Scottsdale Rd Ste 246
Scottsdale, AZ 85251-5630

Mailing address

3501 N Scottsdale Rd Ste 246
Scottsdale, AZ 85251-5630
Phone (480) 994-3668

Other identifiers 6

IdentifierTypeStateIssuer
477233MedicaidAZ
78698OtherAZMEDICARE GROUP PIN
7167058OtherAZAETNA PIN
602490600OtherAZDEPT OF LABOR
2Z0160OtherAZHEALTHNET PIN
AZ0195150OtherAZBCBSAZ PIN

Other names 1

  • Serrina Marie Yozsa-Jemmett Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428000284 AZ Practitioner - Podiatry 8325035819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Talus-Inmotion LLCGroup PAC ID 4082830138, 3 clinicians

Practice addresses (Care Compare)

5111 N Scottsdale Rd
Suite 101
Scottsdale, AZ 85250-7007
Phone (480) 948-2111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue65
Removal of skin lesions97
Removal of nail tissue355
Removal or shaving of skin growth123
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0514AZMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Talus-Inmotion LLC Podiatrist CurrentSince Sep 2, 2014 Accepting new patients
Podiatric Physicians of Arizona, Inc. Past Accepting new patients
Jeffrey a. Copoloff, PLLC Past Accepting new patients
Podiatric Physicians of Arizona, Inc. Past Accepting new patients
Talus, Limited Liability Company Podiatrist PastSince Apr 27, 2004 Accepting new patients

Locations

5111 N Scottsdale Rd
Ste 101
Scottsdale, AZ 85250
Phone (480) 948-2111

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1720065113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 N SCOTTSDALE RD STE 246",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515630",
            "telephone_number": "480-994-3668",
            "fax_number": "480-663-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N SCOTTSDALE RD STE 246",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515630",
            "telephone_number": "480-994-3668",
            "fax_number": "480-663-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOZSA",
        "first_name": "SERRINA",
        "middle_name": "MARIE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "477233",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "78698",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "7167058",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "602490600",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PIN",
            "identifier": "2Z0160",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZ PIN",
            "identifier": "AZ0195150",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SERRINA",
            "last_name": "YOZSA-JEMMETT",
            "middle_name": "MARIE",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.