Individual provider Active NPI

James Parker Senter, MD

  • Family Medicine Physician
  • Coeburn, VA
National Provider Identifier
1104894526
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101032888 Issued in VA
Practice address
7523 DC Caney Ridge Rd
Coeburn, VA 24230-4936
Phone
(276) 835-9731
Fax
(276) 835-1007
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101032888 VA Primary
Emergency Medicine Physician 207P00000X 0101032888 VA

Addresses

Primary practice location

7523 DC Caney Ridge Rd
Coeburn, VA 24230-4936

Mailing address

7523 DC Caney Ridge Rd
Coeburn, VA 24230-4936
Phone (276) 835-9731

Other identifiers 5

IdentifierTypeStateIssuer
051019191013MedicaidVA
080007627OtherMEDICARE-TRAILBLAZER
1104894526MedicaidVA
493812OtherMEDICARE-RHC
007653387OtherVAMEDICAID-RHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607001330 VA Practitioner - Family PracticePractitioner - Emergency Medicine 7810979390 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Western Virginia Regional Emergency Physicians, LLC Emergency Medicine CurrentSince Apr 4, 2017 Accepting new patients
Emcare Physician Providers Inc. Emergency Medicine Past Accepting new patients

Locations

312 Hospital Dr
Clintwood, VA 24228
Phone (276) 439-1450

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1104894526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7523 DC CANEY RIDGE RD",
            "city": "COEBURN",
            "state": "VA",
            "postal_code": "242304936",
            "telephone_number": "276-835-9731",
            "fax_number": "276-926-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7523 DC CANEY RIDGE RD",
            "city": "COEBURN",
            "state": "VA",
            "postal_code": "242304936",
            "telephone_number": "276-835-9731",
            "fax_number": "276-835-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENTER",
        "first_name": "JAMES",
        "middle_name": "PARKER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101032888",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101032888",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051019191013",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-TRAILBLAZER",
            "identifier": "080007627",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104894526",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-RHC",
            "identifier": "493812",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-RHC",
            "identifier": "007653387",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeburn, VA

Sources for this page

Verify at the official NPI Registry.