PAUL A RENKE (NPI# 1114935632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114935632 |
| Entity Type | Individual |
| Full Name | PAUL A RENKE |
| Credential | DDS |
| Practice Address |
1460 Walton Blvd Ste 10 Rochester Hills MI 48309 |
| Practice Telephone | 2486514202 |
| Practice Fax Number | 2486514204 |
| Mailing Telephone | 2486514202 |
| Mailing Fax Number | 2486514204 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | 2901016821 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1460 WALTON BLVD STE 10 |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073518866 | Michael Stewart Salter | Podiatrist | 1460 Walton Blvd, Ste 60, Rochester Hills, MI 48309-1768 | 2005-06-17 |
| 1336794908 | Johnson and Varsanik, Pllc | Clinic/Center | 1460 Walton Blvd, Suite 205, Rochester Hills, MI 48309-4843 | 2019-08-09 |
| 1659829794 | Kelsey Marie Haglund | Physician Assistant | 1460 Walton Blvd, Suite 200, Rochester Hills, MI 48309-1768 | 2016-09-19 |
| 1770947566 | Lighthouse Solutions, LLC | Marriage & Family Therapist | 1460 Walton Blvd, Suite 224, Rochester Hills, MI 48309-1768 | 2016-04-08 |
| 1467831503 | Agape Family Counseling, Pllc | Community/Behavioral Health | 1460 Walton Blvd, Suite 218, Rochester Hills, MI 48309-1768 | 2015-05-21 |
| 1235532623 | Bennett H. Lee | Physician Assistant | 1460 Walton Blvd, Rochester Hills, MI 48309-1768 | 2014-09-30 |
| 1003240755 | Danielle R Zipay | Counselor | 1460 Walton Blvd, Suite 218, Rochester Hills, MI 48309-1768 | 2013-08-29 |
| 1811269376 | Linda Marie Oxford | Counselor | 1460 Walton Blvd, Suite 216, Rochester Hills, MI 48309-1768 | 2012-01-31 |
| 1851672166 | Juan Rhoades | Nurse Practitioner | 1460 Walton Blvd, Ste 200, Rochester Hills, MI 48309-1768 | 2011-08-31 |
| 1528352978 | Pharmacare Pharmacy LLC | Pharmacy | 1460 Walton Blvd, Suite # 90, Rochester Hills, MI 48309-1768 | 2011-06-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255874541 | Tracy Rutherford | Licensed Practical Nurse | 1613 Star Beit Drive, Rochester Hills, MI 48309 | 2016-11-18 |
| 1679016901 | Christian Ojimadu | Registered Nurse | 1613 Star-batt Drive, Rochester Hills, MI 48309 | 2016-11-18 |
| 1841749173 | Julian Alexander Prosser | Social Worker | 1800 Star Batt Drive, Rochester Hills, MI 48309 | 2016-09-28 |
| 1821472861 | Oakland University | Orthopaedic Surgery | 201 Athletics Ctr, Rochester, MI 48309 | 2015-07-18 |
| 1831438704 | Deborah Marie Tierney | Nurse Practitioner | 2200 Squirrel Road Human Health Building, Oakland University School of Nursing Room 2038, Rochester, MI 48309 | 2013-02-12 |
| 1396021242 | Karen Renee Farrar | Social Worker | 1344 Chestnut Cir, Rochester Hills, MI 48309 | 2011-10-24 |
| 1083922389 | Michigan V & P Management, LLC | Specialist | 1886 W. Auburn #300, Rochester Hills, MI 48309 | 2010-09-21 |
| 1689894032 | Steven L. Lipton Dds, PC | Dentist | 111 Rochdale Dr, Rochester Hills, MI 48309 | 2007-04-26 |
| 1083735773 | Jennifer R Haener | Family Medicine | 2940 Crooks Road, Rochester Hills, MI 48309 | 2007-04-02 |
| 1215079645 | Eva Colleen Frances Mondor | Counselor | 155 Rochdale Dr. S, Suite B, Rochester Hills, MI 48309 | 2007-02-13 |
| Find all providers in zip 48309 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295743805 | Kenneth J Bonk | Oral & Maxillofacial Surgery | 1460 Walton Blvd, Ste 10, Rochester Hills, MI 48309 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760900120 | Cynthia A Rider Dmd Pllc | Oral & Maxillofacial Surgery | 2545 Spring Arbor Road, Suite 202, Jackson, MI 49203 | 2017-09-06 |
| 1881792786 | James W Lepczyk | Oral & Maxillofacial Surgery | 31100 Telegraph, Suite 100, Bingham Farms, MI 48025 | 2006-09-21 |
| 1558472332 | Richard F Scott Dds Ms PC | Oral & Maxillofacial Surgery | 203 S Zeeb Road, Suite 101, Ann Arbor, MI 48103 | 2006-08-31 |
| 1922115633 | Nick Leone | Oral & Maxillofacial Surgery | 28018 Harper Avenue, St Clair Shores, MI 48081 | 2006-08-25 |
| 1598772626 | Oral & Maxillofacial Surgery Associates of Western Michigan Plc | Oral & Maxillofacial Surgery | 2140 Lake Michigan Dr Nw, Grand Rapids, MI 49504-4785 | 2006-08-02 |
| 1831113125 | Jeffery Mcfadden | Oral & Maxillofacial Surgery | 33111 W. Seven Mile Rd., Livonia, MI 48152 | 2006-07-27 |
| 1215950100 | William S Bloom | Oral & Maxillofacial Surgery | 11300 East Thirteen Mile Road, Warren, MI 48093 | 2006-07-25 |
| 1609809250 | Richard Peter Bartling | Oral & Maxillofacial Surgery | 3011 Abigail Ln, Midland, MI 48640 | 2006-07-08 |
| 1710949953 | Robert Harry Burke | Oral & Maxillofacial Surgery | 2260 S Huron Pkwy, Ann Arbor, MI 48104-5151 | 2006-04-04 |
| 1497728380 | Brian H Cohen | Oral & Maxillofacial Surgery | 2120 Monroe St, Dearborn, MI 48124-2943 | 2006-02-10 |
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| City | ROCHESTER HILLS |
| Zip Code | 48309 |
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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.