SERGE MARINKOVIC, MD NPI 1023295391

Urology in Lafayette, LA

NPI 1023295391 Organization Urology

About SERGE MARINKOVIC, MD

Serge Marinkovic, Md is a provider established in Lafayette, Louisiana specializing in urology. The NPI number of Serge Marinkovic, Md is 1023295391 and was assigned on January 2008. The practitioner's primary taxonomy code is 208800000X with license number MD200543 (LA). The provider is registered as an organization and their NPI record was last updated 13 years ago. Serge Marinkovic, Md operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Serge Marinkovic Md (Owner)

NPI

1023295391

Provider NameSERGE MARINKOVIC, MD
Provider Location Address4540 AMBASSADOR CAFFERY PKWY STE A-220 LAFAYETTE, LA 70508
Provider Mailing Address4540 AMBASSADOR CAFFERY PKWY STE A-220 LAFAYETTE, LA 70508
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-29-2008
Last Update Date01-29-2008


Primary Taxonomy

Taxonomy Code208800000X
ClassificationUrology
TypeAllopathic & Osteopathic Physicians
License No.MD200543
License StateLA
Taxonomy DescriptionA urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Business Address

SERGE MARINKOVIC, MD
4540 AMBASSADOR CAFFERY PKWY
STE A-220
LAFAYETTE, LA
ZIP 70508
Phone: (337) 504-2671

Get Directions


Mailing Address

SERGE MARINKOVIC, MD
4540 AMBASSADOR CAFFERY PKWY
STE A-220
LAFAYETTE, LA
ZIP 70508
Phone: (337) 504-2671



Authorized Official

Authorized Official NameDR. SERGE MARINKOVIC MD
Authorized Official TitleOWNER
Authorized Official Phone(337) 504-2671

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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
1093705501OTHER (01)LA

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1053319780DR. VIRGINIA B COREIL M.D.
Individual
Pediatrics4540 AMBASSADOR CAFFERY PKWY STE B220
LAFAYETTE, LA 70508
(337) 984-2444
1821096561DR. MICHAEL SCOTT RABALAIS M.D.
Individual
Pediatrics4540 AMBASSADOR CAFFERY PKWY STE B220
LAFAYETTE, LA 70508
(337) 984-2444
1265430656DR. BRIAN D BAILEY M.D.
Individual
Pediatrics4540 AMBASSADOR CAFFERY PKWY STE B220
LAFAYETTE, LA 70508
(337) 984-2444
1215936976 DEBBIE MARY JURGELSKY M.D.
Individual
Specialist4540 AMBASSADOR CAFFERY PKWY SUITE A-2OO
LAFAYETTE, LA 70508
(337) 988-2929
1861483380DR. GEETA N DALAL M.D.
Individual
Pediatrics (Pediatric Cardiology)4540 AMBASSADOR CAFFERY PKWY STE C130
LAFAYETTE, LA 70508
(337) 993-1943
1609852474DR. MICHAEL DALE FOREMAN M.D>
Individual
Specialist4540 AMBASSADOR CAFFERY PKWY SUITE A110
LAFAYETTE, LA 70508
(337) 984-1610
1518943398DR. ROBERT KEEN FELL M.D.
Individual
Specialist4540 AMBASSADOR CAFFERY PKWY A110
LAFAYETTE, LA 70508
(337) 984-1610
1609800655DR. GEETA DALAL
Organization
Pediatrics (Pediatric Cardiology)4540 AMBASSADOR CAFFERY PKWY C SUITE 130
LAFAYETTE, LA 70508
(337) 993-1943
1194820027DEBBIE M JURGELSKY MD LLC
Organization
Obstetrics & Gynecology4540 AMBASSADOR CAFFERY PKWY STE A200
LAFAYETTE, LA 70508
(337) 988-2929
1376601864PEDIATRIC SPECIALTIES APMC
Organization
Pediatrics (Pediatric Cardiology)4540 AMBASSADOR CAFFERY PKWY STE C 200
LAFAYETTE, LA 70508
(337) 981-9110
1407972946FRANK CAILLET, MD, A PROFESSIONAL MEDICAL CORPORATION
Organization
Obstetrics & Gynecology4540 AMBASSADOR CAFFERY PKWY STE C220
LAFAYETTE, LA 70508
(337) 216-0000
1548473994 LANAH JO BRENNAN RD
Individual
Dietitian, Registered4540 AMBASSADOR CAFFERY PKWY C-240
LAFAYETTE, LA 70508
(337) 255-8557
1578707097 KATHERINE L LLOYD LPC
Individual
Counselor (Professional)4540 AMBASSADOR CAFFERY PKWY BUILDING D, SUITE 220
LAFAYETTE, LA 70508
(337) 288-7583
1326274408 WENDY J LEGER LCSW
Individual
Social Worker (Clinical)4540 AMBASSADOR CAFFERY PKWY SUITE B-220
LAFAYETTE, LA 70508
(337) 981-2180
1285864025REACTIVE NUTRITION, LLC
Organization
Dietitian, Registered4540 AMBASSADOR CAFFERY PKWY C240
LAFAYETTE, LA 70508
(337) 255-8557
1104145507 KAYLA S FANGUY LPC, LMFT
Individual
Marriage & Family Therapist4540 AMBASSADOR CAFFERY PKWY BLDG. D, SUITE B-220
LAFAYETTE, LA 70508
(337) 981-2180
1861794729 JESSICA BROUSSARD BAUDOIN PH.D., LMFT, LPC
Individual
Marriage & Family Therapist4540 AMBASSADOR CAFFERY PKWY BUILDING D, SUITE B-220
LAFAYETTE, LA 70508
(337) 981-2180
1285989772MRS. LISA M LAROCHELLE MSW, LCSW
Individual
Social Worker (Clinical)4540 AMBASSADOR CAFFERY PKWY BUILDING D, SUITE B-220
LAFAYETTE, LA 70508
(337) 981-2180
1962554790 AMY E CAVANAUGH PHD LLC
Individual
Psychologist (Clinical)4540 AMBASSADOR CAFFERY PKWY SUITE C200
LAFAYETTE, LA 70508
(337) 889-5830
1316352164RUSH MEDICAL
Organization
Family Medicine (Addiction Medicine)4540 AMBASSADOR CAFFERY PKWY SUITE B-110
LAFAYETTE, LA 70508
(337) 706-9073

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary 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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.