Seniorwell Pod of Pennsylvania, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SENIORWELL POD OF PENNSYLVANIA, LLC

Practice address

2929 Arch St Ste 1700
Philadelphia, PA 19104-7327

Phone

(844) 882-3127

Fax

(844) 246-5875

NPI assigned

Sep 11, 2019

Organization subpart

No

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

Authorized official

Name

John Maroney

Title

Ceo

Phone

(844) 882-3127

Specialties & licenses 1

Addresses

Other names 1

• SeniorWell POD of Pennsylvania, LLC Doing business as

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1164071189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E LAKE COOK RD STE 1000",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891999",
            "telephone_number": "844-882-3127",
            "fax_number": "844-246-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 ARCH ST STE 1700",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191047327",
            "telephone_number": "844-882-3127",
            "fax_number": "844-246-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORWELL POD OF PENNSYLVANIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "MARONEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-882-3127"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SeniorWell POD of Pennsylvania, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SeniorWell POD of Pennsylvania, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hailey Elizabeth Senior, PA-C
• Lynn A Senior, LCSW
• Seniorwell of Pennsylvania, LLC
• Bobbiann Burgess Sennett, CRNP
• Brian Jeffrey Sennett, MD
• Eileen Senour, PT
• Jacqueline Senour, PA-C
• Kelly Senour, PA-C

• All providers in Philadelphia, PA
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.