Senior Care PA

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

56910 Issued in NC

Legal business name

SENIOR CARE PA

Practice address

147 Columbine Drive
Winston Salem, NC 27106-3112

Phone

(336) 777-1200

Fax

(336) 777-0406

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Herman Ernest Schmid Jr., MD

Title

President

Phone

(336) 777-1200

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215150628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 COLUMBINE DRIVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063112",
            "telephone_number": "336-777-1200",
            "fax_number": "336-777-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 COLUMBINE DRIVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063112",
            "telephone_number": "336-777-1200",
            "fax_number": "336-777-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHMID",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-777-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "56910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID NO",
            "identifier": "3424721",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890258K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taras Semchyshyn
• Charles Thomas Alexander Semelka, MD
• Luke Seminara, NP AGACNP-BC
• Sanchala Sen
• James Alan Senft, MD
• Senior Carelinx, PA
• Senior Retreat Day Center LLC
• Senior Services, Inc.
• Senior Services, Inc.
• Karen Sennewald, MD

• Geriatric Medicine (Family Medicine) Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Geriatric Medicine (Family Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.