Seniorcare Ipa, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SENIORCARE IPA, LLC

Practice address

1315 St Joseph Pkwy Ste 1309
Houston, TX 77002-8236

Phone

(832) 366-1305

NPI assigned

Mar 29, 2021

Last updated

Mar 29, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Spencer Solomon

Title

Coo, General Counsel

Phone

(832) 366-1305

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1053998575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY STE 1309",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028236",
            "telephone_number": "832-366-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY STE 1309",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028236",
            "telephone_number": "832-366-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORCARE IPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "COO, GENERAL COUNSEL",
        "authorized_official_telephone_number": "832-366-1305"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Senior's Pain Relief Medical Supply
• Seniority Homecare Inc.
• Destini Ariel Goodly Seniors, MD
• Robert Theodore Seniors III, MD
• Mary Plumb Senkel, FNP
• Lisa Senn, LPC

• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.