Jean Senecal MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JEAN SENECAL MD

Practice address

825 W Washington St
Suite 12
Eufaula, AL 36027-1847

Phone

(334) 688-7455

NPI assigned

Mar 10, 2008

Last updated

Jul 28, 2008By 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

Dr. Jean Senecal, MD

Title

President

Phone

(334) 688-7455

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1083884738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W WASHINGTON ST",
            "address_2": "SUITE 12",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271847",
            "telephone_number": "334-688-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W WASHINGTON ST",
            "address_2": "SUITE 12",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271847",
            "telephone_number": "334-688-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN SENECAL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "SENECAL",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-688-7455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083884738",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Eufaula, AL
• Providers in Eufaula, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.