ERIC LLOYD RENK (NPI# 1568659910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568659910 |
| Entity Type | Individual |
| Full Name | ERIC LLOYD RENK |
| Credential | PA-C |
| Practice Address |
2401 Bristol Ct Sw A104 Olympia WA 98502-6003 |
| Practice Telephone | 3608194289 |
| Mailing Telephone | 3608194289 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2015-06-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10005283 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DEA | MR3027201 | 01 |
| Street Address |
2401 BRISTOL CT SW A104 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-6003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386260115 | Lorrie Ann Hoffman | Technician | 2401 Bristol Ct Sw, Olympia, WA 98502-6003 | 2020-06-17 |
| 1801443817 | Laquanda P Sanders | Licensed Practical Nurse | 2401 Bristol Ct Sw, Olympia, WA 98502-6003 | 2019-08-23 |
| 1083059133 | Gregory D Hinkle | Mechanotherapist | 2401 Bristol Ct Sw, Olympia, WA 98502-6003 | 2013-05-02 |
| 1841533304 | David Jonathon Ray | Massage Therapist | 2401 Bristol Ct Sw, Suite 102 A, Olympia, WA 98502-6003 | 2013-04-03 |
| 1124367628 | Brian David Worden | Massage Therapist | 2401 Bristol Ct Sw, Suite A - 102, Olympia, WA 98502-6003 | 2013-02-05 |
| 1548570047 | Matthew Walter Martinez | Chiropractor | 2401 Bristol Ct Sw, Suite A-102, Olympia, WA 98502-6003 | 2010-10-18 |
| 1033345715 | Wayne Johnson | Specialist | 2401 Bristol Ct Sw, Suite A-103, Olympia, WA 98502-6003 | 2009-06-08 |
| 1588802243 | Shari Aldrich | Specialist | 2401 Bristol Ct Sw, Suite A-103, Olympia, WA 98502-6003 | 2009-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
| 1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
| 1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
| Find all providers in zip 98502 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700345196 | Kara Lynn Kime | Physician Assistant | 1200 Cooper Point Rd Sw Ste 100, Olympia, WA 98502-1172 | 2019-03-15 |
| 1679056824 | Katharine Loco-marshall | Physician Assistant | 4816 She-nah-num Drive, Olympia, WA 98513 | 2018-09-13 |
| 1619285368 | Elizabeth R Mchugh | Physician Assistant | The Evergreen State College, Seminar 1 Rm 2110, Olympia, WA 98505-0001 | 2010-09-15 |
| 1023290962 | Cynthia Strohl Weissinger | Physician Assistant | 500 Lilly Rd Ne Ste 200, Olympia, WA 98506-5197 | 2007-12-03 |
| 1629126842 | Susan Anne Kaisaki | Physician Assistant | 1212 Harrison Ave Nw, Olympia, WA 98502-5466 | 2007-01-05 |
| 1366523490 | Donna M Landry | Physician Assistant | 1603 Cooper Point Rd Nw, Olympia, WA 98502-8325 | 2006-10-17 |
| 1518931526 | Rickard D. Antles | Physician Assistant | 406 Yauger Way Sw Ste A, Olympia, WA 98502-8151 | 2006-02-15 |
| 1932104700 | Cynthia K Lobe | Physician Assistant | 3000 Limited Ln Nw, Olympia, WA 98502-2704 | 2005-06-16 |
| 1508189887 | Michelle D Smith | Physician Assistant | 615 Lilly Rd Ne, Olympia, WA 98506-5117 | 2010-03-01 |
| 1558526756 | Thurston Emergency Group A Professional LLC | Physician Assistant | 3900 Capitol Mall Dr Sw, Olympia, WA 98502-8654 | 2008-07-28 |
| Find all providers in OLYMPIA | ||||
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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.