Eliseo Geronimo Senseng, RESPIRATORY THERAPIS

Primary specialty

Pulmonary Function Technologist Certified Respiratory TherapistTaxonomy code 2278P1006X

License

0117000661 Issued in VA

Practice address

12011 Lee Jackson Hwy
Fairfax, VA 22033-3310

Phone

(301) 816-7446

Fax

(301) 816-7170

NPI assigned

Aug 28, 2007

Last updated

Dec 23, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293062400000",
    "number": "1174717748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 E JEFFERSON ST",
            "address_2": "KAISER PERMANENTE ATTN: SANJAY MATHUR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524908",
            "telephone_number": "301-816-7446",
            "fax_number": "301-816-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 LEE JACKSON HWY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333310",
            "telephone_number": "301-816-7446",
            "fax_number": "301-816-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENSENG",
        "first_name": "ELISEO",
        "middle_name": "GERONIMO",
        "name_prefix": "Mr.",
        "credential": "RESPIRATORY THERAPIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2010-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2278P1006X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Pulmonary Function Technologist",
            "state": "VA",
            "license": "0117000661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jingbo Lu Seo, LCSW
• Ju-Yeon Seo
• Hani Seoudi, MD
• Maria Sepulveda
• Zakia Nazima Seraj

• Certified Respiratory Therapist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Certified Respiratory Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; 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.