Alexander Servino, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

2004 Issued in MA

Practice address

4700 Las Vegas Blvd North
Nellis Afb, NV 89191-6601

Phone

(702) 653-3040

NPI assigned

Jan 30, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1871564799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 LAS VEGAS BLVD NORTH",
            "city": "NELLIS AFB",
            "state": "NV",
            "postal_code": "891916601",
            "telephone_number": "702-653-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 LAS VEGAS BLVD NORTH",
            "city": "NELLIS AFB",
            "state": "NV",
            "postal_code": "891916601",
            "telephone_number": "702-653-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVINO",
        "first_name": "ALEXANDER",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "2004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadette Schulman, DMSC, MS, PA-C
• Jordan Selzer, M.D.
• Sabrina M Semaan, LCSW
• Holly Sensabaugh, DO
• Steven M Sertich, C.R.N.A.
• Laura Danielle Sery, DO
• Eric Shalita, MS
• David J Sheen, DO
• David L Shepard, M.D.
• Yowell Michael Sherrill, DDS

• Foot & Ankle Surgery Podiatrist in Nellis Afb, NV
• Providers in Nellis Afb, NV by specialty
• Foot & Ankle Surgery Podiatrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.