Peter Kerr Senechal, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME-0033030 Issued in FL

Practice address

319 Green Acres Rd Ste 101
Fort Walton Beach, FL 32547

Phone

(850) 243-7681

Fax

(850) 243-0471

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60552

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.

• Magnolia Medical Clinic P.a.

  • Family Medicine Physician
  • Destin, FL
  • NPI 1053110619
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1174635296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 GREEN ACRES RD",
            "address_2": "SUITE 101",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471170",
            "telephone_number": "850-243-7681",
            "fax_number": "850-243-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 GREEN ACRES RD STE 101",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-243-7681",
            "fax_number": "850-243-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENECHAL",
        "first_name": "PETER",
        "middle_name": "KERR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME-0033030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "CH5541",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375753600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Seitz
• Select Physical Therapy Holdings Inc
• Carolina Patricia Sellers
• Mariah Christine Sellers
• Ashley Leigh Selvey, MS, RD, LD
• Serenity Path Counseling, LLC
• Tessa Markum Sexton, ARNP
• Shades of Color Counseling Services LLC
• Shivani Sharma, MD
• Sharper TMS LLC

• Family Medicine Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.