OSWALDO SERGE


Address: 4036 3rd St Nw, Rochester, MN 55901-7564
Phone: 5072063077

OSWALDO SERGE (NPI# 1558683904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558683904
Entity Type Individual
Full Name OSWALDO SERGE
Credential CSA
Practice Address 4036 3rd St Nw
Rochester
MN 55901-7564
Practice Telephone 5072063077
Mailing Telephone 5072063077
Enumeration Date 2010-02-25
Last Update Date 2010-02-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4036 3RD ST NW
City ROCHESTER
State MN
Zip Code 55901-7564

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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518411107 Michelle Ann Swider Physician Assistant 1425 Portland Ave Ste 220, Rochester, NY 14621-3011 2016-08-11
1124423355 Amanda Schnorf Physician Assistant 2824 W Ridge Rd, Rochester, NY 14626-1639 2014-10-30
1679989479 Jacob William Raifstanger Physician Assistant 2655 Ridgeway Ave Ste 460, Rochester, NY 14626-4296 2014-07-01
1225385305 Katie Elizabeth Kenny Physician Assistant 1555 Long Pond Rd Fl 1, Rochester, NY 14626-4122 2012-08-08
1417288945 Amanda Kay Johnson Physician Assistant 201 W Center St Ei-01 Surgical Assistant, Rochester, MN 55902-3003 2010-01-22
1033322797 Joan Marie Wobig Physician Assistant 5426 15th St Se, Rochester, MN 55904-6719 2007-05-08
1871705749 Beverley Myers Physician Assistant 4730 17th St Se, Rochester, MN 55904-6680 2007-05-04
1831310739 Brenda Gerdts Physician Assistant 4838 Scenic View Dr Sw, Rochester, MN 55902-1527 2007-05-01
1558419739 Kathryn Ann Ciurca Physician Assistant 868 Clover St, Rochester, NY 14610-3232 2007-01-06
1245265594 Margaret M Casper Physician Assistant 1445 Portland Ave Ste 210, Rochester, NY 14621-3008 2006-07-12
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Competitor

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City ROCHESTER
Zip Code 55901

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Dataset Information

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.

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