KENT E RENAUD (NPI# 1477523512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477523512 |
| Entity Type | Individual |
| Full Name | KENT E RENAUD |
| Credential | DPM |
| Practice Address |
7220 Mount Rushmore Rd Rapid City SD 57702-8754 |
| Practice Telephone | 6053411414 |
| Mailing Telephone | 6053411414 |
| Mailing Fax Number | 6053417062 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2018-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 157 | SD | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | CIGNA MEDICARE | 1254560001 | 01 |
| SD | 6802012 | 05 | |
| MEDICARE RAILROAD PTAN | P00130093 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7220 S Highway 16, Rapid City, SD 577028708 | 6053411414 | 6053417062 |
| Street Address |
7220 MOUNT RUSHMORE RD |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57702-8754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801875562 | Lew W Papendick | Orthopaedic Surgery | 7220 Mount Rushmore Rd, Rapid City, SD 57702 | 2006-01-11 |
| 1992330203 | Keaton Gruda | Physical Therapist | 7220 Mount Rushmore Rd, Rapid City, SD 57702-8754 | 2020-03-06 |
| 1801454467 | Taylor James Bryan | Physician Assistant | 7220 Mount Rushmore Rd, Rapid City, SD 57702-8754 | 2019-05-30 |
| 1720642960 | R James C Whitcher | Physical Therapist | 7220 Mount Rushmore Rd, Rapid City, SD 57702-8754 | 2019-04-23 |
| 1891147450 | Jason Becker | Physician Assistant | 7220 Mount Rushmore Rd, Rapid City, SD 57702-8754 | 2016-07-07 |
| 1922401066 | Jason R Koch | Physician Assistant | 7220 Mount Rushmore Rd, Rapid City, SD 57702 | 2014-10-03 |
| 1669891412 | Nicholas Tolsma | Physician Assistant | 7220 Mount Rushmore Rd, Rapid City, SD 57702 | 2014-04-09 |
| 1972860534 | Christian Jay Gaffney | Orthopaedic Surgery | 7220 Mount Rushmore Rd, Rapid City, SD 57702-8754 | 2012-04-19 |
| 1669513552 | Robert James Woodruff | Orthopaedic Surgery | 7220 Mount Rushmore Rd, Rapid City, SD 57702 | 2007-02-12 |
| 1669513289 | Black Hills Orthopedic and Spine Center, PC | Durable Medical Equipment & Medical Supplies | 7220 Mount Rushmore Rd, Rapid City, SD 57702-8754 | 2007-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
| 1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
| 1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
| 1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
| 1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
| 1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
| Find all providers in zip 57702 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982032934 | Anthony Doyon | Podiatrist | 1635 Caregiver Cir, Rapid City, SD 57702-8529 | 2013-10-29 |
| 1265746556 | Nathan L Hensley | Podiatrist | 2805 5th St, 100, Rapid City, SD 57701-7306 | 2010-07-29 |
| 1417983149 | Thomas Ries | Podiatrist | 350 Pine St, Rapid City, SD 57701-1669 | 2006-06-24 |
| 1740252782 | Neil Skea | Podiatrist | 101 E Minnesota St, Suite 210, Rapid City, SD 57701-7756 | 2006-02-03 |
| 1609848670 | Jennifer Ryder | Podiatrist | 101 E Minnesota St, Suite 210, Rapid City, SD 57701-7756 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518580471 | Jessica Shaw, Dpm, Pllc | Podiatrist | 3801 S Western Ave Ste 105, Sioux Falls, SD 57105-6570 | 2020-05-26 |
| 1417211772 | Sanders Podiatry Pllc | Podiatrist | 909 13th Ave Nw, Watertown, SD 57201-1069 | 2012-07-01 |
| 1518193093 | Lorri A. Riley, Dpm PC | Podiatrist | 1410 North Ave #1, Spearfish, SD 57783 | 2009-06-10 |
| 1740345057 | Bayside Podiatry Pa | Podiatrist | 927 E Colorado Blvd, Spearfish, SD 57783-2783 | 2006-12-27 |
| 1154433787 | Dana Robert Ray | Podiatrist | 5013 S Bur Oak Pl, Sioux Falls, SD 57108-2228 | 2006-08-31 |
| 1093732711 | Lorri A Riley | Podiatrist | 1410 North Ave, Ste 1, Spearfish, SD 57783-3029 | 2006-07-17 |
| 1396793931 | Mark B Bradley | Podiatrist | 1602 W 26th St, Sioux Falls, SD 57105-2610 | 2006-05-05 |
| 1942207253 | Jason Andrew Weiland | Podiatrist | 24237 474th Ave, Dell Rapids, SD 57022-6120 | 2005-06-30 |
| 1043216955 | John Elmer Forrette Jr. | Podiatrist | 1210 W 18th St, Sioux Falls, SD 57104-4647 | 2005-06-24 |
| 1598769457 | Jeffrey R Schmidt | Podiatrist | 501 S Ohlman St, Mitchell, SD 57301-3108 | 2005-06-09 |
| Find all providers with the same taxonomy | ||||
| City | RAPID CITY |
| Zip Code | 57702 |
Please comment or provide details below to improve the information on KENT E RENAUD.
| 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.