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NPI Code Detail

MEDICARE: MR. JOSEPH SCERBA PA

MEDICARE: MR. JOSEPH SCERBA PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant2000145767MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740217454
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSEPH SCERBA PA
Provider Business Mailing Address
First Line : PO BOX 7412011
Second Line :
City : CHICAGO
State : IL
Zip : 60674-2011
Country : US
Telephone Number : 314-514-3500
Fax Number : 314-878-7678
Provider Business Practice Location Address
First Line : 14532 S OUTER 40 RD
Second Line : DEPT ORTHOPAEDIC SURGERY, STE 200
City : CHESTERFIELD
State : MO
Zip : 63017-5705
Country : US
Telephone Number : 314-514-3500
Fax Number : 314-878-7678
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 04/17/2025

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