Phyllis Jacqueline Senter, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G34906 Issued in CA

Practice address

3883 Airway Dr
Santa Rosa, CA 95403

Phone

(707) 571-7777

Fax

(707) 523-1308

NPI assigned

Apr 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1780646505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3883 AIRWAY DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031670",
            "telephone_number": "707-571-7777",
            "fax_number": "707-573-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3883 AIRWAY DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95403",
            "telephone_number": "707-571-7777",
            "fax_number": "707-523-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENTER",
        "first_name": "PHYLLIS",
        "middle_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G34906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G349060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Selvage, M.A.
• Christina Semeski
• L Reyna Seminara, MFT
• Marsha Ellen Sendar, M.S.P.T.
• Seneca Family of Agencies
• Mark Stuart Senzig, CMT
• Sequoia Mind Health PC
• Sequoia TMS PC
• Serene Home Care LLC
• David Robert Sereni Jr., P.T.

• Family Medicine Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.