SERENA MARIA BAGNASCO M.D. NPI 1003871880

Pathology (Anatomic Pathology & Clinical Pathology) in Baltimore, MD

About SERENA BAGNASCO

Serena Bagnasco is a provider in Baltimore, MD with more than 39 years of experience. The NPI number assigned to this provider is 1003871880. The practitioner's primary taxonomy code is Pathology (207ZP0102X). The provider is registered as an individual and their NPI record was last updated 5 years ago. Serena Bagnasco is registered with Medicare but might not accept claims assignment.

NPI1003871880 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name SERENA MARIA BAGNASCO M.D.
Provider Location Address4940 EASTERN AVE BALTIMORE, MD 21224 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 64478 BALTIMORE, MD 21264 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameOTHER
Graduation Year1979
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-18-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date02-04-2013 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

SERENA MARIA BAGNASCO M.D.
4940 EASTERN AVE
BALTIMORE, MD
ZIP 21224
Phone: (410) 955-2660
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Mailing Address

SERENA MARIA BAGNASCO M.D.
PO BOX 64478
BALTIMORE, MD
ZIP 21264
Phone: (410) 955-2660

Primary Taxonomy

Taxonomy Code207ZP0102X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPathology
TypeAllopathic & Osteopathic Physicians
SpecializationAnatomic Pathology & Clinical Pathology
License No.D40379
License StateMD
Taxonomy DescriptionA pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
098671200MEDICAID (05)MD
KR36JHJ572MEDICARE PIN (08)MD
F03622MEDICARE UPIN (02)MD

Map Location


SERENA MARIA BAGNASCO M.D. address is 4940 EASTERN AVE BALTIMORE, MD 21224

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013972918 ANNA MAE BECKER C.P.N.P.
Individual
Nurse Practitioner4940 EASTERN AVE
BALTIMORE, MD 21224
(410) 550-0967
1073505566DR. SHARI M LAWSON M.D.
Individual
Specialist4940 EASTERN AVE BLDG A, RM 121
BALTIMORE, MD 21224
(410) 550-0335
1144289026DR. STEPHEN MICHAEL SCHATZ MD
Individual
Urology4940 EASTERN AVE
BALTIMORE, MD 21224
(410) 550-2074
1265498927 GEORGE E BIGELOW P.H.D.
Individual
Psychologist4940 EASTERN AVE
BALTIMORE, MD 21224
(410) 550-0035
1316901903 HAROLD J ALFERT M.D.
Individual
Urology4940 EASTERN AVE
BALTIMORE, MD 21224
(410) 550-7008
1346205051 COLLEEN HOWLAND PA-C
Individual
Physician Assistant4940 EASTERN AVE
BALTIMORE, MD 21224
(410) 550-5864
1346206034 HENRY W BOFFEN JR. C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered4940 EASTERN AVE
BALTIMORE, MD 21224
(410) 955-6353
1487619052 LISA ANN BARKEY P.A.-C.
Individual
Physician Assistant4940 EASTERN AVE
BALTIMORE, MD 21224
(410) 550-1215
1508822651 ROMSAI T BOONYASAI M.D.
Individual
Internal Medicine4940 EASTERN AVE
BALTIMORE, MD 21224
(410) 550-9434
1548224439 DANA KIMBALL ANDERSEN M.D.
Individual
Surgery4940 EASTERN AVE
BALTIMORE, MD 21224
(410) 550-0400
1568427342 CAROLYN SHARON BACAL P.A.-C.
Individual
Physician Assistant4940 EASTERN AVE
BALTIMORE, MD 21224
(410) 550-5633
1598722217 KAREN BOLLA P.H.D.
Individual
Psychologist (Clinical)4940 EASTERN AVE
BALTIMORE, MD 21224
(410) 550-5624
1629034590 EDWARD S BESSMAN M.D.
Individual
Emergency Medicine4940 EASTERN AVE
BALTIMORE, MD 21224
(410) 550-0350
1629054812 JANINE M. COY P.A.
Individual
Physician Assistant4940 EASTERN AVE CIMS OFFICE
BALTIMORE, MD 21224
(410) 550-8956
1639134299 HIBA M BARGHOUTHI M.D.
Individual
Internal Medicine (Nephrology)4940 EASTERN AVE
BALTIMORE, MD 21224
(410) 550-0979
1639134810 SUSAN ELAINE BAILEY M.D.
Individual
Psychiatry & Neurology (Psychiatry)4940 EASTERN AVE
BALTIMORE, MD 21224
(410) 550-0018
1760448187 JOSEPH BERK M.D.
Individual
Pediatrics4940 EASTERN AVE
BALTIMORE, MD 21224
(410) 550-0967
1780652453DR. PAUL J. HOEHNER MD, MA, FAHA
Individual
Anesthesiology4940 EASTERN AVE A5W-588
BALTIMORE, MD 21224
(410) 550-0942
1962468306 CHARLES ANDREW BERGMAN JR. M.D.
Individual
Emergency Medicine4940 EASTERN AVE
BALTIMORE, MD 21224
(410) 550-0350
1962468991 ROBIN BOYNTON C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered4940 EASTERN AVE
BALTIMORE, MD 21224
(410) 955-6353