CAROL RENKE MD (NPI# 1659619633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659619633 |
| Entity Type | Organization |
| Organization Name | CAROL RENKE MD |
| Practice Address |
44139 Monterey Ave Ste A102 Palm Desert CA 92260-8700 |
| Practice Telephone | 7607768444 |
| Practice Fax Number | 7607768440 |
| Mailing Telephone | 7607768444 |
| Mailing Fax Number | 7607768440 |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |
| Authorized Official Name | CAROL RENKE (OWNER) |
| Authorized Official Telephone | 7607768444 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | C50328 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
44139 MONTEREY AVE STE A102 |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92260-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174587372 | Christina Elizabeth Sloan | Physician Assistant | 44139 Monterey Ave Ste A102, Palm Desert, CA 92260-8700 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414202 | Arianna D Aguilar | Behavioral Analyst | 7410 Highway 111 Suite 102, Palm Desert, CA 92260 | 2020-10-12 |
| 1063053098 | Sylvia Ann Trapuzzano | Marriage & Family Therapist | 74-040 Highway IIi, Suite L-202, Palm Desert, CA 92260 | 2019-10-01 |
| 1477011153 | Alexis Ivonne Corrales | Behavior Technician | 74-710 Ca-111, Ste #102, Palm Desert, CA 92260 | 2019-03-12 |
| 1992272421 | Sarah Baik | Pharmacist | 72314 Ca-111, Palm Desert, CA 92260 | 2018-11-02 |
| 1104329820 | Oz Med, Inc. | Pharmacy | 44150 Town Center Way, Ste B4, Palm Desert, CA 92260 | 2018-03-09 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1225540180 | Dr Fatemeh Hadjian D.d.s. P.a. | Dentist | 74000 Country Club Ste B1, Palm Desert, CA 92260 | 2017-11-01 |
| 1871032185 | Brianne Lee Stoddard | Behavioral Analyst | 41555 Cook Street, Suite 100, Palm Desert, CA 92260 | 2017-02-20 |
| 1275072720 | Michael Giordano Jerez | Chiropractor | 72840 Ca - 111 Suite 2, Palm Desert, CA 92260 | 2017-02-16 |
| 1982150785 | Joshua W Cartter Dds Inc | Dentist | 72415 Park View, Palm Desert, CA 92260 | 2016-08-31 |
| Find all providers in zip 92260 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679946602 | Jerry Robert Fleischner | Family Medicine | 228 Santa Barbara Circle, Palm Desert, CA 92260 | 2015-11-13 |
| 1376805341 | Robert Don Whinery | Family Medicine | 776 Mission Creek Drive, Palm Desert, CA 92211-5905 | 2012-06-14 |
| 1821235763 | Thomas Dean Gartin | Family Medicine | 75811 Temple Lane, Palm Desert, CA 92211 | 2009-01-14 |
| 1174729461 | Maureen L Prowse | Family Medicine | 183 Gran Via, Palm Desert, CA 92260-2130 | 2007-06-22 |
| 1902010432 | Mary Roberta Newburger | Family Medicine | 49080 Sondgroth Ct, Palm Desert, CA 92260-6391 | 2007-05-10 |
| 1215149745 | A Gregory Caruso Md Inc | Family Medicine | 73-211 Fred Waring Drive, Ste. 100, Palm Desert, CA 92260 | 2007-05-04 |
| 1154478790 | John N Taylor, Md A Professional Corporation | Family Medicine | 41990 Cook St Bldg J, Suite 901, Palm Desert, CA 92211-6100 | 2007-01-05 |
| 1407878473 | Carol Renke | Family Medicine | 44139 Monterey Ave A102, Palm Desert, CA 92260-8700 | 2006-07-25 |
| 1154359271 | Christopher Vega Flores | Family Medicine | 44331 Monterey Ave, Suite C & D, Palm Desert, CA 92260 | 2006-06-29 |
| 1174577613 | Benson Family Medical Group Inc | Family Medicine | 41555 Cook St, Ste 130, Palm Desert, CA 92211 | 2006-05-20 |
| Find all providers in PALM DESERT | ||||
| City | PALM DESERT |
| Zip Code | 92260 |
Please comment or provide details below to improve the information on CAROL RENKE MD.
| 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.