Serge Makarenko (NPI# 1487216818, PAC ID# 5890127658) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
Nation Provider ID (NPI) | 1487216818 |
PAC ID by PECOS | 5890127658 |
Professional Enrollment ID | I20191115001449 |
Full Name | Serge Makarenko |
Organization Legal Name | UNIVERSITY OF UTAH SURGICAL SERVICES |
Address |
175 N Medical Dr University of Utah Department of Ne Salt Lake City UT 84132-0001 |
Phone Number | 8015857575 |
Gender | M |
Graduation Year | 2013 |
Primary Specialty | NEUROSURGERY |
Group Practice PAC ID | 6002130481 |
Number of Group Practice Members | 24 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
460009 | UNIVERSITY OF UTAH HOSPITALS AND CLINICS |
Address | Phone | Organization |
---|---|---|
175 N Medical Dr, University of Utah Department of Ne, Salt Lake City, UT 84132-0001 | 8015857575 | UNIVERSITY OF UTAH SURGICAL SERVICES |
Organization Legal Name | UNIVERSITY OF UTAH SURGICAL SERVICES |
Physicians | 13 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jason T Montgomery | Physician Assistant | University of Utah Surgical Services | 590 S Wakara Way, Ortho Spine Surgeons, Salt Lake City, UT 84108-1200 |
Claire Duffy | Physician Assistant | University of Utah Surgical Services | 175 N Medical Dr, University of Utah Department of Ne, Salt Lake City, UT 84132-0001 |
Dorian J Carroll | Physician Assistant | University of Utah Surgical Services | 590 S Wakara Way, Ortho Spine Surgeons, Salt Lake City, UT 84108-1200 |
Juneyoung L Chavez | Neurosurgery | University of Utah Surgical Services | 175 N Medical Dr, University of Utah Department of Ne, Salt Lake City, UT 84132-0001 |
Daniel W Fults Iii | Neurosurgery | University of Utah Surgical Services | 175 N Medical Dr, University of Utah Department of Ne, Salt Lake City, UT 84132-0001 |
Darrel S Brodke | Orthopedic Surgery | University of Utah Surgical Services | 590 S Wakara Way, Ortho Spine Surgeons, Salt Lake City, UT 84108-1200 |
Mark A Mahan | Neurosurgery | University of Utah Surgical Services | 50 N Medical Dr, Salt Lake City, UT 84132-0100 |
William R Spiker | Orthopedic Surgery | University of Utah Surgical Services | 590 S Wakara Way, Ortho Spine Surgeons, Salt Lake City, UT 84108-1200 |
Brandon D Lawrence | Orthopedic Surgery | University of Utah Surgical Services | 590 S Wakara Way, Ortho Spine Surgeons, Salt Lake City, UT 84108-1200 |
Erica F Bisson | Neurosurgery | University of Utah Surgical Services | 50 N Medical Dr, Salt Lake City, UT 84132-0100 |
Street Address |
175 N MEDICAL DR UNIVERSITY OF UTAH DEPARTMENT OF NE |
City | SALT LAKE CITY |
State | UT |
Zip | 84132-0001 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ligia V Onofrei | Neurology | University of Utah Adult Services | 175 N Medical Dr, Salt Lake City, UT 84132-5901 |
Marcus D Mazur | Neurosurgery | University of Utah Acuity Care Services | 175 N Medical Dr, U of U Neuro Critical Care, Salt Lake City, UT 84132-5901 |
Yuko Matsuoka | Nurse Practitioner | University of Utah Acuity Care Services | 175 N Medical Dr, U of U Neuro Critical Care, Salt Lake City, UT 84132-5901 |
Muhammad Chauhan | Neurology | University of Utah Acuity Care Services | 175 N Medical Dr, Salt Lake City, UT 84132-5901 |
Claire Duffy | Physician Assistant | University of Utah Surgical Services | 175 N Medical Dr, University of Utah Department of Ne, Salt Lake City, UT 84132-0001 |
Richard H Schmidt | Neurosurgery | University of Utah Acuity Care Services | 175 N Medical Dr, U of U Neuro Critical Care, Salt Lake City, UT 84132-5901 |
Daniel Hovey | Nurse Practitioner | University of Utah Acuity Care Services | 175 N Medical Dr, U of U Neuro Critical Care, Salt Lake City, UT 84132-5901 |
William Tupper Couldwell | Neurosurgery | University of Utah Acuity Care Services | 175 N Medical Dr, U of U Neuro Critical Care, Salt Lake City, UT 84132-5901 |
Ramesh Grandhi | Neurosurgery | University of Utah Acuity Care Services | 175 N Medical Dr, U of U Neuro Critical Care, Salt Lake City, UT 84132-5901 |
Juneyoung L Chavez | Neurosurgery | University of Utah Surgical Services | 175 N Medical Dr, University of Utah Department of Ne, Salt Lake City, UT 84132-0001 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Breynn Collazo | Physician Assistant | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
Quinton Allred | Physician Assistant | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
Leslie Halpern | Oral Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | |
Molly Doose | Internal Medicine | University of Utah Pediatric Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
Matthew James Plumb | Physician Assistant | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
Lucas Anderson | Physician Assistant | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
Richard S Lemons | Pediatric Medicine | University of Utah Pediatric Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
Rebeka Lyn Coleman | Physician Assistant | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
Heather M George | Physician Assistant | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
Rebecca R Desso | Anesthesiology | University of Utah Adult Services | 50 N Medical Dr, Salt Lake City, UT 84132-0001 |
Find all physicians in zip 84132 |
City | SALT LAKE CITY |
Zip Code | 84132 |
Specialty | NEUROSURGERY |
City + Specialty | SALT LAKE CITY + NEUROSURGERY |
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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.