JEFFERY A SENALL (NPI# 1366432338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366432338 |
| Entity Type | Individual |
| Full Name | JEFFERY A SENALL |
| Credential | MD |
| Practice Address |
27650 Ferry Rd Suite 100 Warrenville IL 60555-3845 |
| Practice Telephone | 6302252663 |
| Practice Fax Number | 6302252399 |
| Mailing Telephone | 6302252663 |
| Mailing Fax Number | 6302252399 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2015-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 036100443 | IL | Allopathic & Osteopathic Physicians |
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
036-100443 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN (GROUP) | 206147 | 01 |
| IL | 036100443 | 05 | |
| IL | RR MEDICARE | P01136351 | 01 |
| Street Address |
27650 FERRY RD SUITE 100 |
| City | WARRENVILLE |
| State | IL |
| Zip Code | 60555-3845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790786465 | Laurie A. Morgan | Physician Assistant | 27650 Ferry Rd, Suite 100, Warrenville, IL 60555-3845 | 2005-08-03 |
| 1528585155 | Megan Wojowski | Specialist/Technologist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2017-08-24 |
| 1689120065 | Lauren Roth | Physician Assistant | 27650 Ferry Rd, Suite 100, Warrenville, IL 60555-3845 | 2016-08-26 |
| 1881077048 | Daniel Philip Jonas | Physician Assistant | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2015-07-07 |
| 1730579590 | Katelynn Shilka | Specialist/Technologist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2015-02-02 |
| 1699164475 | Laura E Conte | Specialist/Technologist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2015-01-15 |
| 1992102834 | Daniel L Lowder | Specialist/Technologist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2014-11-20 |
| 1437553781 | Danielle J Murphy | Physician Assistant | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2014-10-15 |
| 1871905703 | Sander Rubin | Family Medicine | 27650 Ferry Rd, Warrenville, IL 60555 | 2014-05-27 |
| 1518395946 | Jennifer Gall | Physician Assistant | 27650 Ferry Rd, Suite 100, Warrenville, IL 60555-3845 | 2013-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053944546 | Deloris Abrahams Morgan | Physical Therapist | Symbria Rehab, 28100 Torch Parkway Suite 600, Warrenville, IL 60555 | 2020-02-13 |
| 1306479894 | Lauri Ann Mccrorey | Physical Therapist | Symbria Rehab 28100 Torch Parkway, Suite 600, 600, Warrenville, IL 60555 | 2020-02-13 |
| 1699241455 | Jason Villanueva | Occupational Therapist | 2 S 521 River Oaks Dr, Warrenville, IL 60555 | 2018-10-19 |
| 1558885715 | Carol Renee Powers | Nurse Practitioner | 28375 Davis Parkway, Suite 903, Warrenville, IL 60555 | 2017-07-31 |
| 1245613249 | Bryce Alan Larson | Dentist | 28377 Davis Pkwy Ste 609, Warrenville, IL 60555 | 2015-07-08 |
| 1982092078 | Metropolitan Family Services | Community/Behavioral Health | 27475 Ferry Road Suite 120, Americenter of Naperville Warrenville, Warrenville, IL 60555 | 2014-12-26 |
| 1306248505 | A & A Clinical Counseling Solutions, Inc. | Psychologist | 4580 Weaver Parkway Suite 204, Warrenville, IL 60555 | 2014-09-18 |
| 1538412242 | Kirsten Holly Rasmussen | Counselor | 29w120 Butterfield Road, Suite 104 A, Warrenville, IL 60555 | 2012-10-18 |
| 1871881110 | Marianne Huml | Registered Nurse | 4405 Weaver Parkway, Suite 201, Central Dupage Hospital Cancer Center, Warrenville, IL 60555 | 2011-07-20 |
| 1649405341 | James Wade | Surgery | 4405 Weaver Parkway, Warrenville, IL 60555 | 2009-05-26 |
| Find all providers in zip 60555 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588189419 | Oa Associates LLC | Orthopaedic Surgery | 200 Admiral Trost Rd, Columbia, IL 62236-2163 | 2017-08-11 |
| 1275829954 | Raymond R Montoya II | Orthopaedic Surgery | 259 E Erie St Ste 2230, Chicago, IL 60611-3370 | 2011-06-21 |
| 1497231518 | Saluja Kaushali Mahabamunuge | Orthopaedic Surgery | 2160 S 1st Ave, Maywood, IL 60153 | 2018-07-11 |
| 1528563483 | Christopher Cklamovski | Orthopaedic Surgery | 2160 S 1st Ave, Maywood, IL 60153 | 2018-03-24 |
| 1427505197 | Kelly Hynes | Orthopaedic Surgery | 5841 S Maryland Ave, Mc3079, Room P211m, Chicago, IL 60637-1447 | 2016-09-09 |
| 1417339995 | Kurt Krautmann | Orthopaedic Surgery | 251 E Huron St, Chicago, IL 60611-2908 | 2015-06-22 |
| 1972919702 | Jonathan L Hook | Orthopaedic Surgery | 2850 S Wabash Ave Ste 100, Chicago, IL 60616 | 2014-07-01 |
| 1659716751 | Gina Rose Cahill | Orthopaedic Surgery | 929 W Higgins Rd, Schaumburg, IL 60195-3203 | 2013-05-02 |
| 1801181920 | Shaun Kink | Orthopaedic Surgery | 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 | 2011-06-16 |
| 1841501962 | Bryant Shane Ho | Orthopaedic Surgery | 550 W Ogden Ave, Hinsdale, IL 60521-3186 | 2010-06-23 |
| Find all providers with the same taxonomy | ||||
| City | WARRENVILLE |
| Zip Code | 60555 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.