GREGORY RENNER (NPI# 1770536195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770536195 |
| Entity Type | Individual |
| Full Name | GREGORY RENNER |
| Credential | MD |
| Practice Address |
525 N Keene St Columbia MO 65201-6967 |
| Mailing Address |
Po Box 843966 Kansas City MO 64184-3966 |
| Practice Telephone | 5738827903 |
| Practice Fax Number | 5738844607 |
| Mailing Telephone | 5738843300 |
| Mailing Fax Number | 5738840943 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2019-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
36250 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| One Hospital Dr, Columbia, MO 652120001 | 5738828445 | 5738844450 |
| Street Address |
525 N KEENE ST |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-6967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598754566 | Gregory S Campbell | Otolaryngology | 525 N Keene St, Columbia, MO 65201 | 2005-10-20 |
| 1225516628 | Haley Brantley | Audiologist | 525 N Keene St, Columbia, MO 65201-6967 | 2018-07-30 |
| 1497280234 | Stacey Kueny | Speech-Language Pathologist | 525 N Keene St, Suite 101, Columbia, MO 65201-6967 | 2017-05-01 |
| 1477098754 | Amy Stark | Nurse Practitioner | 525 N Keene St, Columbia, MO 65201-6967 | 2016-12-22 |
| 1629426606 | Alaina Lenzen | Audiologist | 525 N Keene St, Second Floor, Columbia, MO 65201-6967 | 2016-05-31 |
| 1861830127 | Roseanna Marie Christal Arand | Audiologist | 525 N Keene St, Columbia, MO 65201-6967 | 2013-06-10 |
| 1548323777 | William Charles Kinney Sr. | Otolaryngology | 525 N Keene St, Columbia, MO 65201-6967 | 2006-12-19 |
| 1831267897 | Katheryn Kelly Maddox | Occupational Therapist | 525 N Keene St, Suite 101, Columbia, MO 65201-6967 | 2006-11-30 |
| 1316981723 | Morgan Rae Hahn | Audiologist | 525 N Keene St, Columbia, MO 65201-6967 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184812968 | Mirsad Mujadzic | Plastic Surgery | 2 Medical Park Rd Ste 302, Columbia, SC 29203-6839 | 2007-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437307337 | Carlos Luis Farias | Plastic Surgery | 8301 Maryland Ave Ste 300, Clayton, MO 63105-3660 | 2008-09-04 |
| 1275548125 | Gregory H Borschel | Plastic Surgery | 4921 Parkview Pl, Suite 6g, Saint Louis, MO 63110-1032 | 2006-07-29 |
| 1366460339 | Albert S Woo | Plastic Surgery | 4921 Parkview Pl, Ste 6g, Saint Louis, MO 63110-1032 | 2006-07-18 |
| 1598781718 | Terence Michael Myckatyn | Plastic Surgery | 1020 N Mason Rd, Bldg 3 Ste 110, Saint Louis, MO 63141-6666 | 2006-07-14 |
Please comment or provide details below to improve the information on GREGORY RENNER.
| 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.