Kenneth L Serra (NPI# 1568438810, PAC ID# 5092611780) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1568438810 |
| PAC ID by PECOS | 5092611780 |
| Professional Enrollment ID | I20170302000101 |
| Full Name | Kenneth L Serra |
| Organization Legal Name | CHANDLER RADIOLOGY ASSOCIATES LLC |
| Address |
1955 W Frye Rd Chandler AZ 85224-6282 |
| Phone Number | 4809634561 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4183600877 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030036 | CHANDLER REGIONAL MEDICAL CENTER |
| 030119 | MERCY GILBERT MEDICAL CENTER |
| 031308 | HUHU KAM MEMORIAL HOSPITAL |
| 050557 | MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1955 W Frye Rd, Chandler, AZ 85224-6282 | 4809634561 | CHANDLER RADIOLOGY ASSOCIATES LLC |
| 3555 S Val Vista Dr, Gilbert, AZ 85297-7323 | 4807288327 | CHANDLER RADIOLOGY ASSOCIATES LLC |
| 15033 S 7th St, Phoenix, AZ 85048-6337 | 9525951778 | SUTTER VALLEY MEDICAL FOUNDATION |
| 15218 S 17th Ct, Phoenix, AZ 85045-1842 | 9525951100 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| 12455 N 118th Way, Scottsdale, AZ 85259-2718 | 9525951100 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| Organization Legal Name | CHANDLER RADIOLOGY ASSOCIATES LLC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Tsai | Diagnostic Radiology | Chandler Radiology Associates LLC | 20750 N John Wayne Pkwy, Maricopa, AZ 85139-5882 |
| David M Medina | Diagnostic Radiology | Chandler Radiology Associates LLC | 475 S Dobson Rd, Chandler, AZ 85224-5605 |
| Robert D Baldwin | Interventional Radiology | Chandler Radiology Associates LLC | 475 S Dobson Rd, Chandler, AZ 85224-5605 |
| Stamatis Kantartzis | Diagnostic Radiology | Chandler Radiology Associates LLC | 1955 W Frye Rd, Chandler, AZ 85224-6282 |
| Marc L Tobler | Diagnostic Radiology | Chandler Radiology Associates LLC | 1955 W Frye Rd, Chandler, AZ 85224-6282 |
| Denise Sorget Kulesha | Diagnostic Radiology | Chandler Radiology Associates LLC | 1727 W Frye Rd, Suite 110, Chandler, AZ 85224-5296 |
| Stephanie E Horton | Diagnostic Radiology | Chandler Radiology Associates LLC | 1727 W Frye Rd, Suite 110, Chandler, AZ 85224-5296 |
| Melissa B Gurley | Interventional Radiology | Chandler Radiology Associates LLC | 1727 W Frye Rd, Suite 110, Chandler, AZ 85224-5296 |
| Andrew E Cottrell | Diagnostic Radiology | Chandler Radiology Associates LLC | 1727 W Frye Rd, Suite 110, Chandler, AZ 85224-5296 |
| Drew C Hunter | Diagnostic Radiology | Chandler Radiology Associates LLC | 475 S Dobson Rd, Chandler, AZ 85224-5605 |
| Street Address |
1955 W FRYE RD |
| City | CHANDLER |
| State | AZ |
| Zip | 85224-6282 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karla D Wax | Nurse Practitioner | 1955 W Frye Rd, Chandler, AZ 85224-6282 | |
| Khoa D Le | Anesthesiology | Chandler Anesthesia Consultants LLC | 1955 W Frye Rd, Chandler, AZ 85224-6282 |
| Saralyn Heddleston | Nurse Practitioner | Sjhmc Physician Services C/o Dignity Health | 1955 W Frye Rd, Chandler, AZ 85224-6282 |
| Steve E Roberts | Anesthesiology | Chandler Anesthesia Consultants LLC | 1955 W Frye Rd, Chandler, AZ 85224-6282 |
| Nicholaos Kehagias | Anesthesiology | Chandler Anesthesia Consultants LLC | 1955 W Frye Rd, Chandler, AZ 85224-6282 |
| Justin J Pattee | Emergency Medicine | Chandler Emergency Medical Group LLC | 1955 W Frye Rd, Chandler, AZ 85224-6282 |
| Scott E Pendleton | Anesthesiology | Chandler Anesthesia Consultants LLC | 1955 W Frye Rd, Chandler, AZ 85224-6282 |
| Kenneth Robert Theriot | Anesthesiology | Chandler Anesthesia Consultants LLC | 1955 W Frye Rd, Chandler, AZ 85224-6282 |
| Terry K Ambus | Anesthesiology | 1955 W Frye Rd, Chandler, AZ 85224-6282 | |
| Faisal Anwar | Internal Medicine | Sjhmc Physician Services C/o Dignity Health | 1955 W Frye Rd, Dhmg East Valley Intensivists, Chandler, AZ 85224-6282 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ravi Gupta | Internal Medicine | Ravi Gupta, Md, Pllc | 2075 W Pecos Rd, Suite 2, Chandler, AZ 85224-0000 |
| Amita Gupta | Internal Medicine | Ravi Gupta, Md, Pllc | 2075 W Pecos Rd, Suite 2, Chandler, AZ 85224-0000 |
| Ricky Shaikewitz | Chiropractic | 3029 N Alma School Rd, Suite 108, Chandler, AZ 85224-1465 | |
| Heather D Noriega | Nurse Practitioner | Good Health Medical, PC | 3100 N Alma School Rd, Chandler, AZ 85224-1468 |
| Nancy Rapkoch | Physician Assistant | Good Health Medical, PC | 3100 N Alma School Rd, Chandler, AZ 85224-1468 |
| Megan Elizabeth Ahmed | Physician Assistant | Good Health Medical, PC | 3100 N Alma School Rd, Chandler, AZ 85224-1468 |
| Natalie Ann Tejada | Nurse Practitioner | Good Health Medical, PC | 3100 N Alma School Rd, Chandler, AZ 85224-1468 |
| Janet M Pragit | Osteopathic Manipulative Medicine | Good Health Medical, PC | 3100 N Alma School Rd, Chandler, AZ 85224-1468 |
| Paul A Wagner | Optometry | 2955 W Elliot Rd, Suite 1, Chandler, AZ 85224-1620 | |
| Sanjay M Ahluwalia | Gastroenterology | Arizona Gastrointestinal Associates Plc | 2971 W Elliot Rd, Suite 3, Chandler, AZ 85224-1636 |
| Find all physicians in zip 85224 | |||
| City | CHANDLER |
| Zip Code | 85224 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | CHANDLER + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Kenneth L Serra.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.