FADY SERRY (NPI# 1386009553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386009553 |
| Entity Type | Individual |
| Full Name | FADY SERRY |
| Practice Address |
1901 Sw H K Dodgen Loop Temple TX 76502-1814 |
| Mailing Address |
463 Westfield Blvd Apt 836 Temple TX 76502-5333 |
| Practice Telephone | 2549355084 |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1901 SW H K DODGEN LOOP |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982681177 | Robin Ann Weerts | Nurse Anesthetist, Certified Registered | 1901 Sw H K Dodgen Loop, Temple, TX 76502 | 2005-12-28 |
| 1205458296 | Connor Travis Larson | Nurse Anesthetist, Certified Registered | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2020-05-12 |
| 1285277061 | Charity Ann Driver | Nurse Practitioner | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-10-23 |
| 1780232223 | Ahmed Gamal Aquino | Counselor | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-08-28 |
| 1629620778 | Cristiane Rocha Krohn | Registered Nurse | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-07-09 |
| 1801356159 | Daniel Dvoskin | Student in an Organized Health Care Education/Training Program | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-03-22 |
| 1720546039 | Irma Valle | Nurse Anesthetist, Certified Registered | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-03-05 |
| 1316411200 | Jadon Kirven | Counselor | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-01-14 |
| 1801371414 | Chad Krumpholz | Physician Assistant | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2018-09-28 |
| 1629550983 | Hailey Marek | Occupational Therapist | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2018-09-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386255586 | Chelsey Werchan | Student in an Organized Health Care Education/Training Program | 2401 S 31st St # Ms 22103e, Temple, TX 76508-0001 | 2020-08-11 |
| 1619596491 | Samuel Adrian Matthys | Student in an Organized Health Care Education/Training Program | 2401 South 31st St, Ms-ag-407q, Temple, TX 76508 | 2020-04-13 |
| 1508495698 | Swasti Gyawali | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, C/o Kessiah Foster Ms-ck-300, Temple, TX 76508-0001 | 2020-04-02 |
| 1649808775 | Renita Aby Thomas | Student in an Organized Health Care Education/Training Program | 2401 S 31st St Ms-ck-300, Temple, TX 76508-0001 | 2020-04-01 |
| 1538797907 | Anthony Nguyen | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-01-610a, Temple, TX 76508-0001 | 2020-03-31 |
| 1700414968 | Darshan Patel | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-ck-300-kessiah Foster, Temple, TX 76508 | 2020-03-31 |
| 1275160467 | Michaela Ann Marziale | Student in an Organized Health Care Education/Training Program | South 31st Street Ms -22-117d, Temple, TX 76508-0001 | 2020-03-26 |
| 1992332134 | Kiersi Harmon | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street Ms-ag-303h, Baylor Scott & White Medical Center-temple, Temple, TX 76508 | 2020-03-26 |
| 1366079865 | Caleb Davis | Student in an Organized Health Care Education/Training Program | 2401 S 31st St # Ms -35500, Temple, TX 76508-0001 | 2020-03-25 |
| 1053948851 | Christian Beltran | Student in an Organized Health Care Education/Training Program | 2410 South 31st Street, Ms 01 161b, Temple, TX 76508 | 2020-03-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.