DR. SAMSON GARY SERBIN (NPI# 1326151028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326151028 |
| Entity Type | Individual |
| Full Name | DR. SAMSON GARY SERBIN |
| Credential | M.D. |
| Practice Address |
6036 North 19th Avenue Suite 400b Phoenix AZ 85015-2110 |
| Practice Telephone | 6022422520 |
| Practice Fax Number | 6022427625 |
| Mailing Telephone | 6022422520 |
| Mailing Fax Number | 6022427625 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
17526 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | HEALTHNET | 122502 | 01 |
| AZ | CIGNA | 3354946 | 01 |
| AZ | BLUE CROSS | AZ0258960 | 01 |
| AZ | AETNA | 4062898 | 01 |
| AZ | 299124-01 | 05 |
| Street Address |
6036 NORTH 19TH AVENUE SUITE 400B |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
| 1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
| 1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
| 1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
| Find all providers in zip 85015 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609119239 | James Paul Hovis | Surgery | 370 East Virginia Avenue Suite 100, Phoenix, AZ 85004 | 2013-04-02 |
| 1902251077 | Advanced Hand and Wrist Specialists | Surgery | 690 N Cofco Center Ct, Suite 190, Phoenix, AZ 85008-6462 | 2016-04-26 |
| 1518107879 | Edward M Reece Md Pllc | Surgery | 370 E Virginia Ave, Ste 100, Phoenix, AZ 85004-1214 | 2009-02-26 |
| 1073761169 | Dr Steven D Bastian Pllc | Surgery | 370 E Virginia Ave, Suite 100, Phoenix, AZ 85004-1214 | 2008-09-03 |
| 1851585319 | Southwest Hand Surgeons, Ltd. | Surgery | 300 W Clarendon, Suite 250, Phoenix, AZ 85013-3477 | 2007-08-28 |
| 1255539532 | Jonathan Christian Yang | Surgery | 370 E Virginia Ave, Suite 100, Phoenix, AZ 85004-1214 | 2007-07-06 |
| 1578769162 | Benjamin Wei | Surgery | 2929 E Thomas Rd, Phoenix, AZ 85016-8034 | 2007-06-21 |
| 1225232796 | Edward Martin Reece | Surgery | 370 E Virginia Ave, Ste 100, Phoenix, AZ 85004-1214 | 2007-06-11 |
| 1760538342 | Steven D Bastian | Surgery | 370 E Virginia Ave, Suite 100, Phoenix, AZ 85004-1214 | 2007-01-26 |
| 1578623328 | Dr Lloyd P Champagne Pllc | Surgery | 333 E Virginia Ave, Suite 119, Phoenix, AZ 85004-1206 | 2006-12-11 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.