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O SERRANO MD PLLC
NPI 1104978600
Internal Medicine - Gastroenterology in Lakeside, AZ

Active since January 17, 2007
218 W WHITE MOUNTAIN BLVD, SUITE C, LAKESIDE, AZ 85929(928) 367-3637(928) 367-3638 Get Directions Write a Review

NPPES record last updated: January 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About O Serrano Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

O SERRANO MD PLLC (NPI 1104978600) is a healthcare organization registered as a gastroenterology in Lakeside, Arizona and active in the NPI registry since January 2007. The organization lists Oluwagbenga Serrano, Owner, as its authorized official.

NPPES Registry Identity

NPI1104978600
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameOLUWAGBENGA SERRANO
Location Address218 W WHITE MOUNTAIN BLVD, SUITE CLakeside, AZ 85929-7013
Mailing AddressPo Box 1149Lakeside, AZ 85929-1149 · (928) 367-3637 · Fax (928) 367-3638
Phone(928) 367-3637
Fax(928) 367-3638
Organization SubpartNo
Authorized OfficialOluwagbenga SerranoOwner · (928) 367-3637
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJanuary 13, 2012
✔ NPI 1104978600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in AZ · 29877
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
218 W WHITE MOUNTAIN BLVD, Lakeside, AZ 85929
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Other Names 1

Doing Business AsO Serrano Md Pllc

Other Identifiers 2

Medicaid025539AZ
Medicare PINZ108776AZ

Group Practice 1

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LORNA RAE REISNER NP
Nurse Practitioner
218 W WHITE MOUNTAIN BLVD, SUITE D
LAKESIDE, AZ 85929
Navajo County (928) 367-9995
JESSE WILCOCK OTR/L
Occupational Therapist
218 W WHITE MOUNTAIN BLVD, SUITE A & B
LAKESIDE, AZ 85929
Navajo County (928) 367-5779
PEACE FAMILY MEDICINE PC
Family Medicine
218 W WHITE MOUNTAIN BLVD, SUITE D
LAKESIDE, AZ 85929
Navajo County (928) 367-9995
ED D LAURITSEN PHD PC
Psychologist (Clinical)
218 W WHITE MOUNTAIN BLVD, SUITE D
LAKESIDE, AZ 85929
Navajo County (928) 367-9995

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oluwagbenga Serrano's NPI number?

The NPI number for Oluwagbenga Serrano is 1104978600. It was assigned to this organization in the NPPES registry on January 17, 2007. The provider is doing business as O Serrano MD PLLC.

Where is Oluwagbenga Serrano located?

Oluwagbenga Serrano is located at 218 W White Mountain Blvd Suite C, Lakeside, AZ 85929. The listed phone number is (928) 367-3637.

What is Oluwagbenga Serrano's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Oluwagbenga Serrano was last updated on January 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.