O SERRANO MD PLLC – NPI #1104978600
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

O SERRANO MD PLLC is a provider located in LAKESIDE, AZ. NPPES has assigned the NPI number 1104978600 to O SERRANO MD PLLC on January 17, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “O SERRANO MD PLLC” is a dba name, the actual legal business name for this organization is OLUWAGBENGA SERRANO. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 14 years ago on Jan 13, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for O SERRANO MD PLLC below.

NPI Profile for
OLUWAGBENGA SERRANO

NPI Number
1104978600
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OLUWAGBENGA SERRANO
Doing Business As (dba): O SERRANO MD PLLC
Primary location
218 W WHITE MOUNTAIN BLVD
SUITE C
LAKESIDE, AZ 85929-7013
Phone: (928) 367-3637 Fax: (928) 367-3638
Mailing address
PO BOX 1149
LAKESIDE, AZ 85929-1149
Phone: (928) 367-3637 Fax: (928) 367-3638
Organization Subpart
No
Authorized Official
OLUWAGBENGA SERRANO
OWNER
Phone: (928) 367-3637
Updated
Identifiers

Identifiers for O SERRANO MD PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAZ025539
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
AZ 29877

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.