Julie A Renner (NPI# 1780931477, PAC ID# 2769634690) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1780931477 |
| PAC ID by PECOS | 2769634690 |
| Professional Enrollment ID | I20121128000657 |
| Full Name | Julie A Renner |
| Organization Legal Name | ORTHOPEDIC SPECIALISTS AND SPORTS MEDICINE, INC. |
| Address |
1940 Tamarack Rd Newark OH 43055-1363 |
| Phone Number | 7407889220 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6406889526 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360218 | LICKING MEMORIAL HOSPITAL |
| 360266 | MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1940 Tamarack Rd, Newark, OH 43055-1363 | 7407889220 | ORTHOPEDIC SPECIALISTS AND SPORTS MEDICINE, INC. |
| 1980 Tamarack Rd, Newark, OH 43055-1363 | 7407889220 | ORTHOPEDIC SPECIALISTS AND SPORTS MEDICINE, INC. |
| Organization Legal Name | ORTHOPEDIC SPECIALISTS AND SPORTS MEDICINE, INC. |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aleksandar Tancevski | Orthopedic Surgery | Orthopedic Specialists and Sports Medicine, Inc. | 1980 Tamarack Rd, Newark, OH 43055-1363 |
| Ian Randal Kirk | Physical Therapy | Orthopedic Specialists and Sports Medicine, Inc. | 1940 Tamarack Rd, Newark, OH 43055-1363 |
| Brad Lang Bernacki | Orthopedic Surgery | Orthopedic Specialists and Sports Medicine, Inc. | 1980 Tamarack Rd, Newark, OH 43055-1363 |
| Adam Schmidt | Physician Assistant | Orthopedic Specialists and Sports Medicine, Inc. | 1940 Tamarack Rd, Newark, OH 43055-1363 |
| Mckayla Linz | Physical Therapy | Orthopedic Specialists and Sports Medicine, Inc. | 1980 Tamarack Rd, Newark, OH 43055-1363 |
| Edward Westerheide | Orthopedic Surgery | Orthopedic Specialists and Sports Medicine, Inc. | 1980 Tamarack Rd, Newark, OH 43055-1363 |
| Connor Mcmahon | Physical Therapy | Orthopedic Specialists and Sports Medicine, Inc. | 1940 Tamarack Rd, Newark, OH 43055-1363 |
| Benjamin W Burkett | Orthopedic Surgery | Orthopedic Specialists and Sports Medicine, Inc. | 1940 Tamarack Rd, Newark, OH 43055-1363 |
| Street Address |
1940 TAMARACK RD |
| City | NEWARK |
| State | OH |
| Zip | 43055-1363 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ian Randal Kirk | Physical Therapy | Orthopedic Specialists and Sports Medicine, Inc. | 1940 Tamarack Rd, Newark, OH 43055-1363 |
| Adam Schmidt | Physician Assistant | Orthopedic Specialists and Sports Medicine, Inc. | 1940 Tamarack Rd, Newark, OH 43055-1363 |
| Connor Mcmahon | Physical Therapy | Orthopedic Specialists and Sports Medicine, Inc. | 1940 Tamarack Rd, Newark, OH 43055-1363 |
| Benjamin W Burkett | Orthopedic Surgery | Orthopedic Specialists and Sports Medicine, Inc. | 1940 Tamarack Rd, Newark, OH 43055-1363 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth R Greer | Critical Care (intensivists) | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Harvinder S Gill | Pulmonary Disease | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Joshua R Thomas | Internal Medicine | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Asegid H Kebede | Pulmonary Disease | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Ilya G Goldenberg | Internal Medicine | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Alissa V Ackelson | Infectious Disease | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Armand A Bermudez | Critical Care (intensivists) | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Michael J Kirwin | Family Practice | 2000 Tamarack Rd, Newark, OH 43055-1183 | |
| Gene Harrison | Chiropractic | 1951 Tamarack Rd, Newark, OH 43055-1300 | |
| Caroline Thompson | Clinical Social Worker | National Youth Advocate Program Inc | 2112 Cherry Valley Rd, Newark, OH 43055-1323 |
| Find all physicians in zip 43055 | |||
| City | NEWARK |
| Zip Code | 43055 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | NEWARK + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.