Active NPI
John Cleary Sennish, M.D.
- Surgery Physician
- Coldwater, MI
National Provider Identifier
1750350286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301043259
- Practice address
- 360 E Chicago St
Suite 100
Coldwater, MI 49036-2086 - Phone
- (517) 279-4720
- Fax
- (517) 279-4882
- NPI assigned
- Mar 16, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301043259 | MI | Primary |
Addresses
Primary practice location
360 E Chicago St
Suite 100
Coldwater, MI 49036-2086
Mailing address
360 E Chicago St
Suite 100
Coldwater, MI 49036-2086
Phone (517) 279-4720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3113803 | Medicaid | MI |
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 |
|---|---|---|---|
| 4301043259 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Health PC | 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": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1750350286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 E CHICAGO ST",
"address_2": "SUITE 100",
"city": "COLDWATER",
"state": "MI",
"postal_code": "490362086",
"telephone_number": "517-279-4720",
"fax_number": "517-279-4882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 E CHICAGO ST",
"address_2": "SUITE 100",
"city": "COLDWATER",
"state": "MI",
"postal_code": "490362086",
"telephone_number": "517-279-4720",
"fax_number": "517-279-4882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENNISH",
"first_name": "JOHN",
"middle_name": "CLEARY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301043259",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3113803",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coldwater, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.