Active NPI
Michael R Senta, M.D., FACS
- Surgery Physician
- Palmer, AK
National Provider Identifier
1366443871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 1660
- Practice address
- 2490 S Woodworth Loop
Suite 450
Palmer, AK 99645-7405 - Phone
- (907) 745-8100
- Fax
- (907) 746-2655
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 1660 | AK | Primary |
Addresses
Primary practice location
2490 S Woodworth Loop
Suite 450
Palmer, AK 99645-7405
Mailing address
2490 S Woodworth Loop
Suite 450
Palmer, AK 99645-7405
Phone (907) 745-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD1660 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1660 | AK | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Surgical Associates, Inc | Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1366443871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2490 S WOODWORTH LOOP",
"address_2": "SUITE 450",
"city": "PALMER",
"state": "AK",
"postal_code": "996457405",
"telephone_number": "907-745-8100",
"fax_number": "907-746-2655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2490 S WOODWORTH LOOP",
"address_2": "SUITE 450",
"city": "PALMER",
"state": "AK",
"postal_code": "996457405",
"telephone_number": "907-745-8100",
"fax_number": "907-746-2655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENTA",
"first_name": "MICHAEL",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "M.D., FACS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AK",
"license": "1660",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD1660",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.