GORDON F. RENNIE (NPI# 1144386400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144386400 |
| Entity Type | Individual |
| Full Name | GORDON F. RENNIE |
| Credential | M.D. |
| Practice Address |
1450 Northwest Ln Se Ste A Lacey WA 98503-6908 |
| Mailing Address |
Po Box 3360 Portland OR 97208-3360 |
| Practice Telephone | 3604914460 |
| Practice Fax Number | 3604913090 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2018-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD00016734 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
1450 NORTHWEST LN SE STE A |
| City | LACEY |
| State | WA |
| Zip Code | 98503-6908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285149930 | Laboratory Corporation of America | Clinical Medical Laboratory | 1450 Northwest Ln Se Ste A, Lacey, WA 98503-6908 | 2017-12-04 |
| 1033514187 | Jodi Fischer | Nurse Practitioner | 1450 Northwest Ln Se Ste A, Lacey, WA 98503-6908 | 2014-10-31 |
| 1104146620 | Yan Geng | Family Medicine | 1450 Northwest Ln Se Ste A, Lacey, WA 98503-6908 | 2010-06-07 |
| 1588862098 | Kimberly Ann Elliott | Family Medicine | 1450 Northwest Ln Se Ste A, Pmg Sw Wa Panorama, Lacey, WA 98503-6908 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
| Find all providers in zip 98503 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306018262 | Wilfred Leung | Internal Medicine | 605 Woodland Square Loop Se, Lacey, WA 98503-1045 | 2008-03-31 |
| 1639272701 | Susan V Links | Internal Medicine | 3928 Pacific Ave Se, Lacey, WA 98503-1109 | 2006-09-06 |
| 1841295615 | Diana E. Velikova | Internal Medicine | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 | 2005-06-16 |
| 1023012879 | Ana Maria Mihalcea | Internal Medicine | 1450 Northwest Ln Se, Suite A, Lacey, WA 98503-6908 | 2005-06-09 |
| 1053501452 | Ioan Vlad Nicolescu | Internal Medicine | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 | 2007-07-31 |
| 1801996483 | Angela I Chan | Internal Medicine | 3928 Pacific Ave Se, Lacey, WA 98503-1109 | 2006-09-24 |
| 1568560241 | Jane M. Geraci | Internal Medicine | 2555 Marvin Rd Ne, Lacey, WA 98516 | 2006-09-20 |
| 1972537918 | Edward L Jansen | Internal Medicine | 2555 Marvin Rd Ne, Pmg Sw Wa Hawks Prairie Im, Lacey, WA 98516-3138 | 2006-07-10 |
| 1225028053 | Jay S Smitherman | Internal Medicine | 2555 Marvin Rd Ne, Pmg Sw Wa Hawks Prairie Im, Lacey, WA 98516-3138 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382224 | Heart Central of Washington | Internal Medicine | 1006 S 64th Ave Ste 110, Yakima, WA 98908-2090 | 2020-10-07 |
| 1265049829 | Robert I Hustrulid Md Pllc | Internal Medicine | 3807 S Sommer Rd, Veradale, WA 99037-9136 | 2020-09-28 |
| 1659987485 | David James Sanders | Internal Medicine | 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 | 2020-09-17 |
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1740898766 | Abx Medical Pllc | Internal Medicine | 2523 Simon Ln Ne, Olympia, WA 98506-3553 | 2020-07-15 |
| 1225656614 | Sentinel Healthcare Corporation | Internal Medicine | 2220 76th Ave Se, Mercer Island, WA 98040-2114 | 2020-07-11 |
| 1730718628 | Brendan Eugene Raney | Internal Medicine | 202 N Borough Rd, Tacoma, WA 98403-2804 | 2020-04-03 |
| 1609404136 | Abigail Anne Cano Deleon | Internal Medicine | 4252 E Roosevelt Ave, Tacoma, WA 98404-4658 | 2020-03-30 |
| 1528691706 | Blue Med Inc. | Internal Medicine | 1222 N Sunset Dr, Tacoma, WA 98406-1027 | 2020-02-17 |
| 1194372896 | Dunia Health Clinic LLC | Internal Medicine | 11625 Rainier Ave S Ste 102, Seattle, WA 98178-3983 | 2019-08-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GORDON F. RENNIE.
| 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.