Active NPI
Pablo E Serrano, M.D.
- Surgery Physician
- Toledo, OH
National Provider Identifier
1962670224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35088763
- Practice address
- 3065 Arlington Ave
Toledo, OH 43614-2570 - Phone
- (419) 383-6462
- NPI assigned
- Feb 20, 2008
- Last updated
- Jul 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35088763 | OH | Primary |
Addresses
Primary practice location
3065 Arlington Ave
Toledo, OH 43614-2570
Mailing address
2549 Plum Leaf LN Apt a
Toledo, OH 43614-4522
Phone (419) 206-0164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35088763 | OH | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216857600000",
"number": "1962670224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2549 PLUM LEAF LN APT A",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436144522",
"telephone_number": "419-206-0164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3065 ARLINGTON AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436142570",
"telephone_number": "419-383-6462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "PABLO",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-20",
"last_updated": "2008-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35088763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.