ERIC LLOYD RENK


Address: 2401 Bristol Ct Sw, A104, Olympia, WA 98502-6003
Phone: 3608194289

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA10005283 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA DEA MR3027201 01

Office Location

Street Address 2401 BRISTOL CT SW
A104
City OLYMPIA
State WA
Zip Code 98502-6003

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City OLYMPIA
Zip Code 98502

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Dataset Information

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.

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