Alexander D Serra (NPI# 1881642668, PAC ID# 1254384704) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1881642668 |
| PAC ID by PECOS | 1254384704 |
| Professional Enrollment ID | I20050224000875 |
| Full Name | Alexander D Serra |
| Organization Legal Name | LECONTE RADIOLOGY PC |
| Address |
5426 Hyada Blvd Ne Tacoma WA 98422-1620 |
| Phone Number | 8659775567 |
| Gender | M |
| Credential | MD |
| Medical School | CORNELL UNIVERSITY MEDICAL COLLEGE |
| Graduation Year | 1991 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1850373705 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220012 | CAPE COD HEALTHCARE |
| 370001 | HILLCREST MEDICAL CENTER |
| 450346 | BAPTIST BEAUMONT HOSPITAL |
| 370202 | HILLCREST HOSPITAL SOUTH |
| 281348 | TRI VALLEY HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 3080 College St, Beaumont, TX 77701-4606 | 4092125000 | BAPTIST PHYSICIAN NETWORK |
| 3555 Stagg Dr, Beaumont, TX 77701-4509 | 4092125922 | BAPTIST PHYSICIAN NETWORK |
| 27 Park St, Hyannis, MA 02601-5230 | 7745526000 | PHYSICIANS OF CAPE COD HOSPITAL |
| 4212 N 16th St, Phoenix, AZ 85016-5319 | 6022631200 | DHEW IND HLTH SV HLTH SVS AND MNTL HLTH ADM |
| 24 -28 Newton St, Southborough, MA 01772-1215 | 5084864472 | RELIANT MEDICAL GROUP INC |
| 5426 Hyada Blvd Ne, Tacoma, WA 98422-1620 | 8659775567 | LECONTE RADIOLOGY PC |
| 5426 Hyada Blvd Ne, Alexander D Serra Md, Tacoma, WA 98422-1620 | 2063540470 | PLAINS RADIOLOGY SERVICES PC |
| 5426 Hyada Blvd Ne, Tacoma, WA 98422-1620 | 9185794200 | TULSA X-RAY LABORATORY INC |
| 5426 Hyada Blvd Ne, Tacoma, WA 98422-1620 | 2063540470 | GRAND ISLAND RADIOLOGY ASSOCIATES PC |
| Organization Legal Name | LECONTE RADIOLOGY PC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn T Stone | Diagnostic Radiology | Leconte Radiology PC | 213 E Michigan Ave, Leconte Radiology Stone, Berthoud, CO 80513-1374 |
| Nidal I Dabbasi | Diagnostic Radiology | Leconte Radiology PC | 5112 Bellevue Falls Ln, Sugar Land, TX 77479-6785 |
| Jonathan G Reed | Diagnostic Radiology | Leconte Radiology PC | 2140 Sul Ross St, Houston, TX 77098-2418 |
| Jonathan Andrew Jaksha | Diagnostic Radiology | Leconte Radiology PC | 9232 Ne 1st St, Bellevue, WA 98004-4932 |
| Farukh S Mian | Diagnostic Radiology | Leconte Radiology PC | 12886 E Desert Trl, Scottsdale, AZ 85259-3560 |
| Kathryn Cambron | Diagnostic Radiology | Leconte Radiology PC | 534 13th Ave W, Kirkland, WA 98033-4831 |
| Eugene P Chung | Diagnostic Radiology | Leconte Radiology PC | 11583 E Juan Tabo Rd, Scottsdale, AZ 85255-5748 |
| Shannon Patrick Calhoun | Diagnostic Radiology | Leconte Radiology PC | 212 Homestead Dr, Bartlesville, OK 74006-2919 |
| Timothy A Conner | Diagnostic Radiology | Leconte Radiology PC | 5 Stony Point Rd, Charleston, WV 25314-1663 |
| Kevin Liaw | Diagnostic Radiology | Leconte Radiology PC | 266 Joule St, Alcoa, TN 37701-2422 |
| Street Address |
5426 HYADA BLVD NE |
| City | TACOMA |
| State | WA |
| Zip | 98422-1620 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Don L Finlayson | Chiropractic | Browns Point Chiropractic Center Ps | 6720 E Side Dr Ne, Suite 2, Tacoma, WA 98422-1174 |
| Sally W Finlayson | Chiropractic | Browns Point Chiropractic Center Ps | 6720 E Side Dr Ne, Suite 2, Tacoma, WA 98422-1174 |
| Margaret Elvira Sackmann | Nurse Practitioner | 5115 Beverly Ave Ne, Tacoma, WA 98422-1823 | |
| Adrienne A Cygnar | Family Medicine | Multicare Health System | 4215 49th Ave Ne, Northshore Mc Clinic, Tacoma, WA 98422-2421 |
| Gabrielle Jill Maybee | Obstetrics/gynecology | Multicare Health System | 4215 49th Ave Ne, Northshore Mc Clinic, Tacoma, WA 98422-2421 |
| Marianne Marryshow | Certified Nurse Midwife | Multicare Health System | 4215 49th Ave Ne, Northshore Mc Clinic, Tacoma, WA 98422-2421 |
| Veronica J Hooper | Family Practice | Multicare Health System | 4215 49th Ave Ne, Tacoma, WA 98422-2421 |
| Julia E Fanslow | Nurse Practitioner | Northwest Evaluation and Consultation Services Incorporated | 5608 17 St Ct Ne, Tacoma, WA 98422-3446 |
| City | TACOMA |
| Zip Code | 98422 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | TACOMA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Alexander D Serra.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.