Active NPI
Anthony J Senagore, M.D.
- Colon & Rectal Surgery Physician
- Saginaw, MI
National Provider Identifier
1518961903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 4301045625
- Practice address
- 912 S Washington Ave
Ste. 1
Saginaw, MI 48601-2564 - Phone
- (989) 790-1001
- Fax
- (989) 790-1002
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35075613 | OH | |
| Surgery Physician | 208600000X | C51076 | CA | |
| Colon & Rectal Surgery Physician | 208C00000X | 35075613 | OH | |
| Colon & Rectal Surgery Physician | 208C00000X | C51076 | CA | |
| Colon & Rectal Surgery Physician | 208C00000X | 4301045625 | MI | Primary |
Addresses
Primary practice location
912 S Washington Ave
Ste. 1
Saginaw, MI 48601-2564
Mailing address
912 S Washington Ave
Ste. 1
Saginaw, MI 48601-2564
Phone (989) 790-1001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C51076 | CA | MD | Surgery Physician |
| 35075613 | OH | MD | Surgery Physician |
| 4301045625 | MI | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Surgery | Current | Accepting new patients |
| University of Toledo Physicians LLC | Surgery | Past | Accepting new patients |
Locations
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
Organizations & group practices 2
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": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384473600000",
"number": "1518961903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 S WASHINGTON AVE",
"address_2": "STE. 1",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486012564",
"telephone_number": "989-790-1001",
"fax_number": "989-790-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 S WASHINGTON AVE",
"address_2": "STE. 1",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486012564",
"telephone_number": "989-790-1001",
"fax_number": "989-790-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENAGORE",
"first_name": "ANTHONY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2013-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35075613",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "C51076",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "OH",
"license": "35075613",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "CA",
"license": "C51076",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "MI",
"license": "4301045625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.