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Contact Information

SENECTUM MEDICAL GROUP LLC
954 SEDGEFIELD CT
MAINEVILLE, OH45039-7513
 Phone: 513-275-6551
 Fax: 513-880-0849
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SENECTUM MEDICAL GROUP LLC

NPI # 1710749114
LBN Legal business name SENECTUM MEDICAL GROUP LLC
Authorized official PHYLLIS ATKINSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/30/2024
Last updated 03/31/2026 - About 2 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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