Aleksandr Volk Sergojan, SO-IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

8810 South St SE
Albuquerque, NM 87117-0001

Phone

(505) 846-2761

NPI assigned

Feb 6, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1811529969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2734 HYDER AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871063033",
            "telephone_number": "505-846-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8810 SOUTH ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871170001",
            "telephone_number": "505-846-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERGOJAN",
        "first_name": "ALEKSANDR",
        "middle_name": "VOLK",
        "name_prefix": "Mr.",
        "credential": "SO-IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aleksandr.sergojan@usmc.mil",
            "affiliation": "N",
            "endpointDescription": "DoD mailing address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Medical and Unclassified Military correspondence",
            "address_1": "8810 South St SE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871170001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Serenity Dental and Spa
• Serenity Psychiatric Services LLC
• Serenity Springs Day Club
• Serenity Telehealth LLC
• Serenity Wellness
• Francis L Serianni, PT, DPT
• Lori Serkland, MD
• Noelia Serna Ayala
• Serna Solutions LLC
• Tasha R Serna-Gallegos, MD

• Independent Duty Corpsman in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Independent Duty Corpsman in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.