Gregory W Sensenich Inc

Key facts

NPI

1326289869

Entity type

Organization (NPI type 2)

Primary specialty

General Practice Physician 208D00000X

License

R8G84 (MO)

Legal business name

GREGORY W SENSENICH INC

Practice address

861 Fairway Dr
Chillicothe, MO 64601-3673

Phone

(660) 646-0000

Fax

(660) 646-5404

NPI assigned

Mar 12, 2009

Organization subpart

No

Authorized official

Name

Dr. Gregory W Sensenich, DO NPI 1669441531

Title

Physician/Ceo

Phone

(660) 646-0000

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory W Sensenich, DO Family Medicine Physician · Chillicothe, MO · NPI 1669441531
  Medicare reassignment Care Compare group NPD Authorized official MO
• Kayla Nicole Suber, NP-C Family Nurse Practitioner · Chillicothe, MO · NPI 1124530001
  Medicare reassignment Care Compare group NPD MO

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MO

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 7, 2024.

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1326289869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 FAIRWAY DRIVE",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "64601",
            "telephone_number": "660-646-0000",
            "fax_number": "660-646-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 FAIRWAY DR",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646013673",
            "telephone_number": "660-646-0000",
            "fax_number": "660-646-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY W SENSENICH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "SENSENICH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN/CEO",
        "authorized_official_telephone_number": "660-646-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MO",
            "license": "R8G84",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242414720",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Chillicothe, MO · General Practice Physician in Missouri