MR. ROBERT ANDREW SERPICO (NPI# 1851628218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851628218 |
| Entity Type | Individual |
| Full Name | MR. ROBERT ANDREW SERPICO |
| Credential | PA-C, MSPAC |
| Practice Address |
1375 N University Ave Provo UT 84604-2658 |
| Mailing Address |
924 Lorraine Ave Salt Lake City UT 84106-2045 |
| Practice Telephone | 8013774745 |
| Practice Fax Number | 8013735762 |
| Mailing Telephone | 8018910896 |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
7472700-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1375 N UNIVERSITY AVE |
| City | PROVO |
| State | UT |
| Zip Code | 84604-2658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669779948 | Melissa A Wroblewski | Nurse Practitioner | 1375 N University Ave, Provo, UT 84604-2658 | 2011-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316240575 | James E Carly | Physician Assistant | 280 W Riverpark Dr Ste 120, Provo, UT 84604 | 2010-12-09 |
| 1588897524 | Alan Taylor Frampton | Physician Assistant | 1750 N Wymount Terrace Drive, Provo, UT 84602-4800 | 2009-08-25 |
| 1295925642 | Kindra K Jacoby | Physician Assistant | 280 West River Park Dr., Ste. #350, Provo, UT 84604 | 2007-07-31 |
| 1528271228 | Arnold Brett Davis | Physician Assistant | 1355 North University Ave, Suite 210, Provo, UT 84604 | 2007-05-08 |
| 1417977505 | Susan R Dyle | Physician Assistant | 619 N 500 W, Provo, UT 84601-1547 | 2006-07-20 |
| 1629035795 | Gary E Nelson | Physician Assistant | 150 E Center St, Suite 1100, Provo, UT 84606-3106 | 2006-05-01 |
| 1689142440 | Brian Todd Spencer | Physician Assistant | 1034 N 500 W, Provo, UT 84604-3380 | 2018-11-08 |
| 1003334525 | Kelly Marie Daly-wolfe | Physician Assistant | 589 S State St, Provo, UT 84606 | 2017-09-05 |
| 1982157301 | Rebekah Michelle Hosman | Physician Assistant | 3650 N University Ave, #200, Provo, UT 84604-6656 | 2016-08-02 |
| 1871960823 | Verdon Reed Walker IIi | Physician Assistant | 589 S State St, Provo, UT 84606-5056 | 2015-08-25 |
| Find all providers in PROVO | ||||
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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.