Dr. John Serak IV
Neurosurgeon
1919 State St Ste 250
New Albany
, Indiana 47150-6805
Dr. John Serak IV
Neurosurgeon
1919 State St Ste 250
New Albany
, Indiana 47150-6805
(502) 489-5750
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Dr. John Serak IV
- 5200 Commerce Crossings Dr Fl 3
- Louisville, KY
- Zip : 40229-2182
- Fax : (502) 489-5750
- Phone : (502) 253-4924
Second Address
- Dr. John Serak IV
- 1919 State St Ste 250
- New Albany, IN
- Zip : 47150-6805
- Phone : (812) 949-5933
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | 01085574A | IN |
| N | 207T00000X | Neurosurgeon | 55381 | KY |
| N | 207T00000X | Neurosurgeon | DR.0058998 | CO |
National Provider Identifier
| NPI | 1053635656 |
|---|---|
| Provider Name | Dr. John Serak IV |
| First Address | Louisville, KY 40229-2182 |
| Second Address | New Albany, IN 47150-6805 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/03/2010 |
| Last Update Date | 17/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 300050313 | (05) | IN |
| 7100752330 | (05) | KY |
| FS6959475 | DEA (01) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.