Dr Stephen D Senecoff MD PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

DR STEPHEN D SENECOFF MD PC

Practice address

30500 Northwestern Hwy
Ste 316
Farmington Hills, MI 48334-3159

Phone

(248) 539-9450

Fax

(248) 539-9457

NPI assigned

Jun 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephen D Senecoff, MD

Title

Owner

Phone

(248) 539-9450

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1720280464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30500 NORTHWESTERN HWY",
            "address_2": "STE 316",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343159",
            "telephone_number": "248-539-9450",
            "fax_number": "248-539-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30500 NORTHWESTERN HWY",
            "address_2": "STE 316",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343159",
            "telephone_number": "248-539-9450",
            "fax_number": "248-539-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR STEPHEN D SENECOFF MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "SENECOFF",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-539-9450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0637924",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.

Verify at the official NPI Registry.