Marian Serra, MD
Emergency Medicine in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1013979129
StatusActive
Last updated in NPPESMay 5, 2010
Details
- NPI
- 1013979129
- Entity type
- Individual (NPI-1)
- Name
- Marian Serra
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2006
- Last updated
- May 5, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 322218-1205 | UT | Yes |
| 207PE0004X | Emergency Medicine, Emergency Medical Services | 322218-1205 | UT |
Practice location
1050 E South TempleSalt Lake City, UT 84102-1507
Phone 801-350-4111
Mailing address
144 S 500 E2nd Floor
Salt Lake City, UT 84102-1907
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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