SUSAN M. RENZ (NPI# 1689853921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689853921 |
Entity Type | Individual |
Full Name | SUSAN M. RENZ |
Credential | NP |
Practice Address |
13 Armand Hammer Blvd Suite 100 Pottstown PA 19464-5067 |
Mailing Address |
Po Box 525 Phoenixville PA 19460-0525 |
Practice Telephone | 6103233100 |
Mailing Telephone | 6103233100 |
Enumeration Date | 2007-11-02 |
Last Update Date | 2014-04-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
VP001613H | PA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
13 ARMAND HAMMER BLVD SUITE 100 |
City | POTTSTOWN |
State | PA |
Zip Code | 19464-5067 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275533390 | Manjula Kandaa Raman | Internal Medicine | 13 Armand Hammer Blvd, Suite 100, Pottstown, PA 19464-5067 | 2005-07-29 |
1659888006 | Jessica Gerloff | Nurse Practitioner | 13 Armand Hammer Blvd, Pottstown, PA 19464-5067 | 2018-01-08 |
1316312366 | Amy Mastrangelo | Nurse Practitioner | 13 Armand Hammer Blvd, Suite 210, Pottstown, PA 19464-5067 | 2015-12-02 |
1962819920 | Tiffany Barr Larue | Nurse Practitioner | 13 Armand Hammer Blvd, Suite 310, Pottstown, PA 19464-5067 | 2014-07-22 |
1013339613 | Ssalem Home Care Services | Respite Care | 13 Armand Hammer Blvd, Pottstown, PA 19464-5067 | 2014-01-16 |
1407198963 | Usrc Pmmc LLC | Clinic/Center | 13 Armand Hammer Blvd, Pottstown, PA 19464-5067 | 2013-03-22 |
1790800092 | Michael D Perilstein | Internal Medicine | 13 Armand Hammer Blvd, Suite 210, Pottstown, PA 19464-5067 | 2007-03-19 |
1942339643 | Rosedale Women's Care | Obstetrics & Gynecology | 13 Armand Hammer Blvd, Suite 310, Pottstown, PA 19464-5067 | 2007-03-06 |
1760524870 | John Fornace | Internal Medicine | 13 Armand Hammer Blvd, Suite 100, Pottstown, PA 19464-5067 | 2007-02-13 |
1598802910 | Norman Zel Rothstein | Internal Medicine | 13 Armand Hammer Blvd, Suite 100, Pottstown, PA 19464-5067 | 2007-02-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770051971 | Jennifer Vernon | Counselor | 111 Robinson Street, Pottstown, PA 19464 | 2018-11-06 |
1609356732 | Wisna Serenity Homes Corp | Home Health | 444 North Mount Vernon Ave, Pottstown, PA 19464 | 2018-08-17 |
1164919007 | Katie A Lewis | Counselor | Creative Health Services Inc., 11 Robinson Street, Pottstown, PA 19464 | 2018-04-17 |
1326564998 | Dana Marie Skilton | Counselor | 11 Robinson Ave, Pottstown, PA 19464 | 2017-08-16 |
1629425954 | Edith Mary French | Registered Nurse | 1630 East High Street, Bldg #4, Pottstown, PA 19464 | 2016-05-17 |
1215314547 | Amy Lynne Campos | Counselor | 1200 E. High St. Suite 202, Pottstown, PA 19464 | 2015-05-06 |
1417346560 | Erica L Avello | Psychologist | 404 E High Street, Pottstown, PA 19464 | 2015-01-13 |
1336559145 | Beth Sue Desch | Dental Hygienist | 11 Robinson St. Suite 100, Pottstown, PA 19464 | 2014-05-01 |
1043638414 | Claudia Baumert | Dietitian, Registered | 555 E High Sreet, Pottstown, PA 19464 | 2014-04-02 |
1770922692 | Marie Elizabeth Bisconti | Optometrist | 264 Upland Square Dr, Pottstown, PA 19464 | 2013-06-25 |
Find all providers in zip 19464 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
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1427666759 | Arevik Bagdasarova | Nurse Practitioner | 312 W Providence Rd, Aldan, PA 19018-3830 | 2020-07-22 |
1346861978 | Christine Martinez | Nurse Practitioner | 2 W Baltimore Ave Ste 101, Media, PA 19063-3740 | 2020-05-05 |
1720608490 | Jaci Trosky | Nurse Practitioner | 2824 Enon Rd, Enon Valley, PA 16120-1454 | 2020-04-22 |
1750910808 | Alpha Integrated Clinic | Nurse Practitioner | 8019 Frankford Ave Rear, Philadelphia, PA 19136-2786 | 2020-04-01 |
1427681394 | Hwayoung Kim | Nurse Practitioner | 315 New St Apt 403, Philadelphia, PA 19106-1135 | 2020-02-19 |
1720624539 | Patrice Carver Cash | Nurse Practitioner | 539 Chain St, Norristown, PA 19401-4607 | 2019-11-27 |
1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
1528601739 | Ashley Lynn Swartz | Nurse Practitioner | 390 Gates St, Johnstown, PA 15906-1906 | 2019-10-21 |
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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.