SERGEY SERZHANTOV IDC
NPI 1780255281
Military Health Care Provider - Independent Duty Corpsman in Fpo, AP

Q: What is Sergey Serzhantov's NPI number?

The NPI number for Sergey Serzhantov is 1780255281. It was assigned to this individual provider in the NPPES registry on July 6, 2021.

Q: What is Sergey Serzhantov's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Sergey Serzhantov was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 06, 2021

PSC 561 MCASI, BUILDING 110, FPO, AP 96310(719) 640-2828 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 4, 2023, Jul 6, 2021 (2 updates tracked since 2021).

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About Sergey Serzhantov Idc NPPES

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

SERGEY SERZHANTOV IDC (NPI 1780255281) is an individual independent duty corpsman provider in Fpo, AP and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1780255281

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameSERGEY SERZHANTOVCredential: IDC

Location AddressPSC 561 MCASI, BUILDING 110Fpo, AP 96310-0019

Mailing AddressPsc 562 Box 7165Fpo, AP 96311-0072 · (719) 640-2828

Phone(719) 640-2828

Sole ProprietorNo

Enumeration DateJuly 6, 2021

Last NPPES UpdateOctober 4, 20232 updates tracked since enumeration

NPPES CertifiedOctober 2, 2023

✔ NPI 1780255281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

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 Sergey Serzhantov's NPI number?

The NPI number for Sergey Serzhantov is 1780255281. It was assigned to this individual provider in the NPPES registry on July 6, 2021.

Where is Sergey Serzhantov located?

Sergey Serzhantov practices at Psc 561 Mcasi Building 110, Fpo, AP 96310. The listed phone number is (719) 640-2828.

What is Sergey Serzhantov's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Sergey Serzhantov was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.