Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vipaporn Seribury, PA-C

Individual provider Physician Assistant · NPI 1174791248

Vipaporn Seribury, PA-C is a Physician Assistant in Silver Spring, Maryland. Qualified in 2007, 19 years ago. Practices with Professional Services of Holy Cross, a 159-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
19
Licensed in
MD
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1500 Forest Glen Rd
Silver Spring, MD 20910-1484
Phone: (301) 754-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C0003544 (MD)

Record details

NPI number1174791248
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 12, 2008
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Professional Services Of Holy Cross — 159 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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