Active NPI
Genoveva Tenorio, M.D.
- Pediatrics Physician
- Albany, MO
National Provider Identifier
1568599694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35774
- Practice address
- 1607 E US Highway 136
Albany, MO 64402-8223 - Phone
- (660) 726-3974
- Fax
- (660) 726-3851
- NPI assigned
- Feb 27, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35774 | MO | Primary |
Addresses
Primary practice location
1607 E US Highway 136
Albany, MO 64402-8223
Mailing address
PO Box 176
Albany, MO 64402-0176
Phone (660) 726-3974
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07879044 | Other | MO | BCBS |
| 10001041401 | Other | MO | COMMUNITY HEALTH PLAN |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35774 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tenorio & Tenorio MD,PC | Pediatrics | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Albany, MO
- NPI 1619004777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568599694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 176",
"city": "ALBANY",
"state": "MO",
"postal_code": "644020176",
"telephone_number": "660-726-3974",
"fax_number": "660-726-3851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 E US HIGHWAY 136",
"city": "ALBANY",
"state": "MO",
"postal_code": "644028223",
"telephone_number": "660-726-3974",
"fax_number": "660-726-3851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENORIO",
"first_name": "GENOVEVA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "35774",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "07879044",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY HEALTH PLAN",
"identifier": "10001041401",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.