Active NPI
Richard T Senn I, MD
- Urology Physician
- Kokomo, IN
National Provider Identifier
1609862374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 01023507
- Practice address
- 113 W Southway Blvd
Kokomo, IN 46902-3653 - Phone
- (765) 453-4654
- Fax
- (765) 455-2266
- NPI assigned
- Sep 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 01023507 | IN | Primary |
Addresses
Primary practice location
113 W Southway Blvd
Kokomo, IN 46902-3653
Mailing address
PO Box 6087
113 West Southway Blvd
Kokomo, IN 46904-6087
Phone (765) 453-4654
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100136470 | Medicaid | IN |
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 |
|---|---|---|---|
| 01023507 | IN | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267660800000",
"number": "1609862374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6087",
"address_2": "113 WEST SOUTHWAY BLVD",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469046087",
"telephone_number": "765-453-4654",
"fax_number": "765-455-2266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 W SOUTHWAY BLVD",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469023653",
"telephone_number": "765-453-4654",
"fax_number": "765-455-2266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENN",
"first_name": "RICHARD",
"middle_name": "T",
"name_suffix": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2010-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IN",
"license": "01023507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100136470",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kokomo, IN
- Steven Joseph Seele, DC
- Courtney Seeler, BS, CADAC II
- Haven Leeann Sell
- Senior Care of Kokomo, LLC (Comfort Keepers #566)
- Senior Care of Kokomo, LLC Dba Comfort Keepers #566
- Sensational Smiles Dentistry, PC
- Amanda Serie, LSW
- Christopher D Seybert, PT, DPT
- Cody Shafer, M.D.
- Courtney Nicole Shaffer, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.