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DR. JAIME FRANCISCO SERRANZANA MD
NPI 1164516365
General Practice in Myrtle Creek, OR

Active since October 03, 2006PECOS Enrolled
925 NW PACIFIC HWY, MYRTLE CREEK, OR 97457(541) 863-5206(541) 863-7654 Get Directions Write a Review

NPPES record last updated: January 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jaime Francisco Serranzana Md NPPES

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

DR. JAIME FRANCISCO SERRANZANA MD (NPI 1164516365) is an individual general practice provider in Myrtle Creek, Oregon, licensed in Oregon (13375) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164516365
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JAIME FRANCISCO SERRANZANACredential: MD
Location Address925 NW PACIFIC HWYMyrtle Creek, OR 97457
Mailing AddressPo Box 2150Myrtle Creek, OR 91457 · (541) 863-5206 · Fax (541) 863-7654
Phone(541) 863-5206
Fax(541) 863-7654
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateJanuary 10, 2013
✔ NPI 1164516365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in OR · 13375
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
925 NW PACIFIC HWY, Myrtle Creek, OR 97457
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Other Identifiers 2

Medicare PIN0000BHQTN
Medicare UPINC93746

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jaime Francisco Serranzana Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Jaime Serranzana's NPI number?

The NPI number for Jaime Serranzana is 1164516365. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Jaime Serranzana located?

Jaime Serranzana practices at 925 NW Pacific Hwy, Myrtle Creek, OR 97457. The listed phone number is (541) 863-5206.

What is Jaime Serranzana's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jaime Serranzana enrolled in Medicare?

Yes. Jaime Serranzana is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaime Serranzana was last updated on January 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.