Individual provider Active NPI

Marina Vladimirovna Semenova, M.D.

  • Internal Medicine Physician
  • Pittsfield, MA
National Provider Identifier
1902043144
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
237835 Issued in MA
Practice address
7 North St
508 Apt
Pittsfield, MA 01201-5162
Phone
(413) 822-0242
NPI assigned
Jan 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 237835 MA
Internal Medicine Physician 207R00000X 237835 MA Primary

Addresses

Primary practice location

7 North St
508 Apt
Pittsfield, MA 01201-5162

Mailing address

7 North St
508 Apt
Pittsfield, MA 01201-5162
Phone (413) 822-0242

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

LicenseStateTypeSpecialty
237835MAMDLegal Medicine

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1902043144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 NORTH ST",
            "address_2": "508 APT",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015162",
            "telephone_number": "413-822-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 NORTH ST",
            "address_2": "508 APT",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015162",
            "telephone_number": "413-822-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMENOVA",
        "first_name": "MARINA",
        "middle_name": "VLADIMIROVNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "MA",
            "license": "237835",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "237835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.