Individual provider Active NPI

Ghaison Frank Serafini, D.O.

  • General Practice Physician
  • Blue Springs, MO
National Provider Identifier
1801193644
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2013035498 Issued in MO
Practice address
1501 NW Mock Ave
Blue Springs, MO 64015-3096
Phone
(816) 224-3155
Fax
(816) 224-3185
NPI assigned
Feb 14, 2011
Last updated
Apr 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 2013035498 MO Primary

Addresses

Primary practice location

1501 NW Mock Ave
Blue Springs, MO 64015-3096

Mailing address

1501 NW Mock Ave
Blue Springs, MO 64015-3096
Phone (816) 224-3155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140226000776 MO Practitioner - Family PracticePractitioner - Dermatology 7214167972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Dermatology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1509 NW Mock Ave
Blue Springs, MO 64015-3108
Phone (816) 224-3155

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions152
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2013035498MOMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Serafini Medical, P.C. CurrentSince Aug 18, 2014 Accepting new patients
Family Care of E. Jackson County LLC PastSince Oct 20, 2014 Accepting new patients
Woods Chapel Medical Group PC PastSince Mar 23, 2017 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1501 NW Mock Ave
Blue Springs, MO 64015
Phone (314) 558-7545

1501 NW Mock Ave
Ste C
Blue Springs, MO 64015

1509 NW Mock Ave
Blue Springs, MO 64015
Phone (816) 229-8187

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1801193644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 NW MOCK AVE",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153096",
            "telephone_number": "816-224-3155",
            "fax_number": "816-224-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 NW MOCK AVE",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153096",
            "telephone_number": "816-224-3155",
            "fax_number": "816-224-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERAFINI",
        "first_name": "GHAISON",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-14",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "2013035498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

Verify at the official NPI Registry.