Healthcare Provider Details

I. General information

NPI: 1184548380
Provider Name (Legal Business Name): MR. THOMAS SENAGE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 EUCLID AVE
CLEVELAND OH
44106-1716
US

IV. Provider business mailing address

3524 DALEFORD RD
SHAKER HEIGHTS OH
44120-5231
US

V. Phone/Fax

Practice location:
  • Phone: 216-844-4004
  • Fax: 216-844-1202
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberAPP-001033832
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: