JOHN H RENNICK (NPI# 1023070034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023070034 |
| Entity Type | Individual |
| Full Name | JOHN H RENNICK |
| Credential | MD |
| Practice Address |
3156 State St Medford OR 97504 |
| Mailing Address |
1215 Sw G St Grants Pass OR 97526-2544 |
| Practice Telephone | 5414762373 |
| Mailing Telephone | 5414762373 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2019-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD190613 | OR | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
E8135 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500755439 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2401 E Street Nw, M/med/qi, Sa-1, Washington, DC 205220001 | 2026631903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568585156 | John Hamlin Rennick Jr. | Family Medicine | 6101 Carnegie Blvd, Suite 500, Charlotte, NC 28209-4644 | 2007-04-09 |
| 1699717298 | John Michael Rennick | Specialist | 3031 Tisch Way, Ste 400, San Jose, CA 95128-2541 | 2006-06-11 |
| Street Address |
3156 STATE ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053957225 | River Rock Family Practice PC | Nurse Practitioner | 3156 State St, Medford, OR 97504-8450 | 2019-11-22 |
| 1851945992 | Oceana Buckingham | Peer Specialist | 3156 State St, Medford, OR 97504-8450 | 2019-07-26 |
| 1235796699 | Macie Slizoski | Counselor | 3156 State St, Medford, OR 97504 | 2019-05-21 |
| 1245798644 | Deb Weisman | Counselor | 3156 State St, Medford, OR 97504-8450 | 2019-03-05 |
| 1952867129 | Brittney Leticia Villa | Counselor | 3156 State St, Medford, OR 97504-8450 | 2019-02-13 |
| 1063986198 | Gloria Westfall | Counselor | 3156 State St, Medford, OR 97504-8450 | 2019-01-11 |
| 1447721386 | Janeice K Bouchard | Counselor | 3156 State St, Medford, OR 97504-8450 | 2018-12-17 |
| 1851878813 | Tiffany Alexander | Counselor | 3156 State St, Medford, OR 97504-8450 | 2018-07-23 |
| 1548747504 | Misty Bishop | Counselor | 3156 State St, Medford, OR 97504-8450 | 2018-07-23 |
| 1588183446 | Lynnette Green | Counselor | 3156 State St, Medford, OR 97504-8450 | 2017-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1215447008 | Jacqueline Amato, Md PC | Psychiatry & Neurology | 841 Alder Creek Dr, Medford, OR 97504-8900 | 2017-10-05 |
| 1982069357 | Ferguson and Pitch Tms Medical Associates Pllc | Psychiatry & Neurology | 1739-a North Ocean Ave, Medford, NY 11763-2683 | 2015-12-29 |
| 1295175347 | Nicole Shirvani | Psychiatry & Neurology | 691 Murphy Rd Ste 218, Medford, OR 97504-4311 | 2013-07-02 |
| 1487908927 | Jeffrey D. Thompson, Md, PC | Psychiatry & Neurology | 18 Myrtle St Ste 102, Medford, OR 97504-7471 | 2012-11-06 |
| 1033404785 | Akshar Health Associates, LLC | Psychiatry & Neurology | 15 Somerton Sq, Medford, NJ 08055-3366 | 2011-06-10 |
| 1073835377 | Center for Senior Wellness, Francis R. Murphy, M.d., LLC | Psychiatry & Neurology | 105 Atsion Rd Unit H, Medford, NJ 08055-1352 | 2010-02-27 |
| 1821257841 | Gail Alexander | Psychiatry & Neurology | 1005 East Main St, Medford, OR 97504 | 2008-06-05 |
| 1881868933 | Margo Christiane Funk | Psychiatry & Neurology | 691 Murphy Rd, Suite 218, Asante Physician Partners, Medford, OR 97504 | 2008-04-19 |
| 1902003080 | Sunny Kim | Psychiatry & Neurology | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2007-07-02 |
| Find all providers in MEDFORD | ||||
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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.