BORIS SERRANO IMPERIAL (NPI# 1518057025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518057025 |
| Entity Type | Individual |
| Full Name | BORIS SERRANO IMPERIAL |
| Credential | M.D. |
| Practice Address |
4021 S 700 E Suite 300 Salt Lake City UT 84107-2192 |
| Mailing Address |
3810 Dona Ct Carmel IN 46033-4431 |
| Practice Telephone | 8003283035 |
| Practice Fax Number | 8012846810 |
| Mailing Telephone | 3174603375 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01025518A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
4021 S 700 E SUITE 300 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-2192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699729129 | Wilbert Abram Lyons | Psychiatry & Neurology | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192 | 2006-05-20 |
| 1629269188 | Kirit J Desai | Dermatology | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2184 | 2007-08-08 |
| 1326251752 | Rene Brown Ledbetter Jr. | Internal Medicine | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192 | 2007-05-08 |
| 1275745838 | James Edward Weiss | Dermatology | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192 | 2007-05-04 |
| 1164558607 | Daria M Ivan | Physical Therapist | 4021 S 700 E, Ste. 300, Salt Lake City, UT 84107-2192 | 2007-02-26 |
| 1881737864 | Thomas Leo Bodensteiner | Obstetrics & Gynecology | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192 | 2007-02-15 |
| 1174600787 | Renee Warren | Pathology | 4021 S 700 E, #300, Salt Lake City, UT 84107-2192 | 2006-11-01 |
| 1609966423 | Thomas Martin Kilbridge | Internal Medicine | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192 | 2006-10-13 |
| 1164512216 | William Siegel | Internal Medicine | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192 | 2006-10-12 |
| 1851489215 | Michael John Lynch | Internal Medicine | 4021 S 700 E, Suite300, Salt Lake City, UT 84107-2192 | 2006-10-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811549637 | Nume Tms Utah, Pllc | Psychiatry & Neurology | 560 S 300 E Ste 115, Salt Lake City, UT 84111-3562 | 2019-07-11 |
| 1497288351 | Tyler Durns | Psychiatry & Neurology | 50 N Medical Dr Salt Lake City, Salt Lake City, UT 84132-0001 | 2017-04-07 |
| 1457705279 | Heather Wark | Psychiatry & Neurology | 3313 E Coronet Dr, Salt Lake City, UT 84124-3102 | 2016-04-18 |
| 1114311255 | Shane Verhoef | Psychiatry & Neurology | 500 Foothill Dr Bldg 16, Salt Lake City, UT 84148-1023 | 2015-03-26 |
| 1376947051 | University of Utah Behavioral Health Services | Psychiatry & Neurology | 30 N 1900 E Ste 1b620, Salt Lake City, UT 84132-0002 | 2014-10-09 |
| 1700120334 | R. Duncan Wallace, M.d., P.C. | Psychiatry & Neurology | 2972 S Devonshire Cir, Salt Lake City, UT 84108-2526 | 2012-11-20 |
| 1336407790 | Anthony Michael Petersen | Psychiatry & Neurology | University of Utah Psychiatry Department, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2012-04-24 |
| 1982971826 | Robert Allan Weitzel | Psychiatry & Neurology | 78 U St, Salt Lake City, UT 84103-4304 | 2011-11-21 |
| 1427349042 | Kristen Leigh Pagel | Psychiatry & Neurology | 30 N 1900 E Rm 1c412, Gme Office, Salt Lake City, UT 84132-0002 | 2011-04-30 |
| 1952690919 | Brent Michael Kious | Psychiatry & Neurology | University Hospital 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2011-03-30 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
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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.