Senatobia Family Practice, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

12463 Issued in MS

Legal business name

SENATOBIA FAMILY PRACTICE, P.C.

Practice address

104 N Robinson St
Senatobia, MS 38668-2149

Phone

(662) 562-0411

Fax

(662) 560-0161

NPI assigned

Nov 1, 2010

Last updated

Dec 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Forster Gehring Ruhl Jr., M.D.NPI 1972606358

Title

President

Phone

(662) 562-0411

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Forster Gehring Ruhl Jr., MD

  • Family Medicine Physician
  • Senatobia, MS
  • NPI 1972606358
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1932409323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N ROBINSON ST",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682149",
            "telephone_number": "662-562-0411",
            "fax_number": "662-560-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N ROBINSON ST",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682149",
            "telephone_number": "662-562-0411",
            "fax_number": "662-560-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENATOBIA FAMILY PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "RUHL",
        "authorized_official_first_name": "FORSTER",
        "authorized_official_middle_name": "GEHRING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-562-0411",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "12463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senatobia City Drug
• Senatobia City Drug Co Inc
• Senatobia Dental Care, P.C.
• Senatobia Dental Studio PLLC
• Senatobia Family Dentistry
• Senatobia Municipal School District
• Alexandria Shaw, FNP-C
• Ella Shelton, PTA
• Sidhu Pediatrics, LLC (Senatobia Children's Clinic)
• Dawn M Simpson, RPH

• Specialist in Senatobia, MS
• Providers in Senatobia, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.