PAUL RENN IV (NPI# 1720490030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720490030 |
| Entity Type | Individual |
| Full Name | PAUL RENN IV |
| Practice Address |
5201 Haverford Ave Philadelphia PA 19139-1401 |
| Practice Telephone | 2154712761 |
| Mailing Telephone | 2154712761 |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2019-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CW019392 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245560085 | Paul J Renn IIi | Counselor | 9426 Stewartown Rd, 2f, Gaithersburg, MD 20879-1601 | 2009-12-29 |
| Street Address |
5201 HAVERFORD AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19139-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437178977 | Gary Davis | Family Medicine | 5201 Haverford Ave, Philadelphia, PA 19139 | 2006-07-18 |
| 1720691439 | Tye Spady Blair | Dental Hygienist | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2020-08-24 |
| 1982246682 | Myra Lynn Rutland | Nurse Practitioner | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2019-10-14 |
| 1114588019 | Samiyra Seymone Vaughn-ibrahim | Dentist | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2019-06-23 |
| 1396300331 | Sarah Pinto | Nurse Practitioner | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2019-05-06 |
| 1659845501 | Naeemah A Ali | Nurse Practitioner | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2019-01-14 |
| 1629564307 | Ana Luisa Perez Guerrero | Registered Nurse | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2018-07-06 |
| 1669962635 | Abbey Roepke | Nurse Practitioner | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2018-05-15 |
| 1871956185 | Gina Steinberg | Nurse Practitioner | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2016-04-04 |
| 1770940827 | Yahaya Ehigie Enakhimion | Nurse Practitioner | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2016-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378663 | Suzanne Banning Anderson | Social Worker | Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 | 2020-08-28 |
| 1770192890 | Michael Pappano LLC | Social Worker | 31 South 51st St, Philadelphia, PA 19139 | 2020-07-24 |
| 1912419581 | Christina Lipuma | Dietitian, Registered | 5210 Haverford Ave, Philadelphia, PA 19139 | 2017-11-03 |
| 1538515564 | New Vitae Inc | Public Health or Welfare | 27 S 55th Street, Philadelphia, PA 19139 | 2016-05-09 |
| 1982058681 | Phyllis Mwaura | In Home Supportive Care | 5338 Vine Street, Basement, Philadelphia, PA 19139 | 2016-04-19 |
| 1861879322 | Barbara Joette Hegarty | Counselor | 4508 Chestnut Street, Philadelphia, PA 19139 | 2015-05-04 |
| 1336533454 | Julie Magallanes-montone | Family Medicine | 5201 Haverford Avenue, Philadelphia, PA 19139 | 2015-03-26 |
| 1134494909 | The Children's Hospital of Philadelphia | Pediatrics | 4865 Market Street, Philadelphia, PA 19139 | 2012-03-13 |
| 1467757443 | Nouman Bashir | Dentist | 5139 Chestnut Stree, Philadelphia, PA 19139 | 2011-01-21 |
| 1720396732 | Serena Denise Johnson | Contractor | 5151a Walnut Street, Philadelphia, PA 19139 | 2010-09-24 |
| Find all providers in zip 19139 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214928 | Tatyana Sharron Hill | Counselor | 3700 Market St Ste 301, Philadelphia, PA 19104-3143 | 2020-10-29 |
| 1013516806 | Being, LLC | Counselor | 1736 Kendrick St, Philadelphia, PA 19152-1816 | 2020-10-22 |
| 1821605809 | Jessica Briddell-hasben | Counselor | 829 Grakyn Ln, Philadelphia, PA 19128-2005 | 2020-09-24 |
| 1538776653 | Eric Brown | Counselor | 8227 Thouron Ave, Philadelphia, PA 19150-2018 | 2020-09-24 |
| 1740896661 | Keya Middleton | Counselor | 2030 N 56th St, Philadelphia, PA 19131-3132 | 2020-09-16 |
| 1679189641 | Teen Support Center, LLC | Counselor | 1528 Walnut St Ste 2012, Philadelphia, PA 19102-3613 | 2020-09-16 |
| 1982219879 | Dathan Landon-freeman | Counselor | 7201 Frankford Ave Ste 1017, Philadelphia, PA 19135-1010 | 2020-09-09 |
| 1700490422 | Outside The Box Strategies, LLC | Counselor | 5340 Angora Ter Fl 2, Philadelphia, PA 19143-3114 | 2020-09-01 |
| 1346853355 | Lauren Dattilo | Counselor | 10175 Bustleton Ave, Philadelphia, PA 19116-3718 | 2020-08-28 |
| 1487265229 | Staci A Robinson | Counselor | 3925 N Smedley St, Philadelphia, PA 19140-3420 | 2020-08-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19139 |
Please comment or provide details below to improve the information on PAUL RENN IV.
| 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.