Paul C Serra, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD053525L Issued in PA

Practice address

329 S Pleasant Ave
Somerset, PA 15501-2262

Phone

(814) 445-3575

Fax

(814) 445-8039

NPI assigned

Jun 8, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Excela Health Physician Practices, Inc

  dba Excela Health Behavioral Health

  • Psychiatry Physician
  • Greensburg, PA
  • NPI 1861438095
  NPD (past)
• Latrobe Area Hospital, Inc.

  • Family Medicine Physician
  • Greensburg, PA
  • NPI 1184682031
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1811938418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 S PLEASANT AVE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012262",
            "telephone_number": "814-445-3575",
            "fax_number": "814-445-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 S PLEASANT AVE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012262",
            "telephone_number": "814-445-3575",
            "fax_number": "814-445-8039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 S Kimberly Ave",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "PA",
            "postal_code": "155012022",
            "country_code": "US",
            "telephone_number": "814-445-3575",
            "fax_number": "814-445-8039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRA",
        "first_name": "PAUL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD053525L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015002270005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SD Pharmacy Services LLC (Mainline Pharmacy - Somerset)
• SD Pharmacy Services LLC
• Krystal Sechler, BS
• Dragana Sekulic, M.D.
• Senior Choice,Inc (The Patriot A Choice Community)
• Rebecca Allison Serre, CRNP
• Carrie Beth Seslow, LCSW
• Anni Renee Shaffer Cole
• Christie Nicole Shaffer, RN
• Scott Shaffer Jr.

• Family Medicine Physician in Somerset, PA
• Providers in Somerset, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.