AMY L. WRENTMORE (NPI# 1104869767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104869767 |
| Entity Type | Individual |
| Full Name | AMY L. WRENTMORE |
| Credential | M.D. |
| Practice Address |
Lee St Fl 4 Charlottesville VA 22908-0001 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4349245321 |
| Practice Fax Number | 4349823816 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2012-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0101241326 | VA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 12445 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1104869767 | 05 | |
| NH | 30204717 | 05 |
| Street Address |
LEE ST FL 4 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22908-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912245937 | Julie Kay Schexnayder | Nurse Practitioner | Lee St Fl 4, Charlottesville, VA 22908-0001 | 2013-01-25 |
| 1982928792 | Anne C. Robertson | Pediatrics | Lee St Fl 4, Charlottesville, VA 22908-0001 | 2010-03-23 |
| 1497918957 | Jeffrey W. Gander | Surgery | Lee St Fl 4, Charlottesville, VA 22908-0816 | 2008-07-04 |
| 1205095593 | Julia A. Wisniewski | Internal Medicine | Lee St Fl 4, Charlottesville, VA 22908-0001 | 2008-06-03 |
| 1578768941 | Cara J. Haberman | Pediatrics | Lee St Fl 4, Charlottesville, VA 22908-0001 | 2007-06-18 |
| 1003027814 | Kathryn Dort | Nurse Practitioner | Lee St Fl 4, Charlottesville, VA 22908-0001 | 2007-05-24 |
| 1225244122 | Colleen H. Druzgal | Pediatrics | Lee St Fl 4, Charlottesville, VA 22908-0001 | 2007-05-15 |
| 1982773511 | Leigh B. Grossman | Internal Medicine | Lee St Fl 4, Charlottesville, VA 22908-0001 | 2006-11-07 |
| 1538238167 | Arthur Garson Jr. | Internal Medicine | Lee St Fl 4, Charlottesville, VA 22908-0001 | 2006-11-07 |
| 1780753301 | James A. Blackman | Pediatrics | Lee St Fl 4, Charlottesville, VA 22908-0001 | 2006-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568020410 | Alexis Evans | Physician Assistant | 1215 Lee St Nnicu, Charlottesville, VA 22908 | 2019-06-04 |
| 1649702317 | Ryan Aschenbrener | Student in an Organized Health Care Education/Training Program | 545 Ray C Hunt Drive Suite 2400, Charlottesville, VA 22908 | 2017-03-31 |
| 1215399241 | Katherine Gresham Belote | Student in an Organized Health Care Education/Training Program | 1221 Lee Street Uva Health System, Charlottesville, VA 22908 | 2016-03-29 |
| 1851776215 | Catherine Meller | Student in an Organized Health Care Education/Training Program | 1215 Lee St., Box 800713, Charlottesville, VA 22908 | 2015-07-28 |
| 1295112597 | Breanna Campbell | Internal Medicine | 1220 Lee St Ste 2401, Charlottesville, VA 22908 | 2015-05-06 |
| 1013255637 | Melinda Bowles-childress | Nurse Practitioner | 1 Hospital Dr Fl 1, Charlottesville, VA 22908 | 2013-01-17 |
| 1053521757 | Univeristy of Virginia Health System | General Acute Care Hospital | University of Virginia Health System, 1215 Lee Street, Chalrlottesville, VA 22908 | 2007-05-23 |
| 1730241282 | Imre Noth | Internal Medicine | 1221 Lee St Fl 2, Charlottesville, VA 22908 | 2006-12-14 |
| 1023185394 | Tamer Ghanem | Otolaryngology | Dept. Otolaryngology, University of Virginia, 1 Hospital Dr., 2nd Floor Oms Rm 2747, Charlottesville, VA 22908 | 2006-11-29 |
| 1366401242 | Lisa M Christianson | Obstetrics & Gynecology | Uva Elson Student Health Center, 400 Brandon Avenue, Charlottesville, VA 22908 | 2006-03-21 |
| Find all providers in zip 22908 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619363058 | Elizabeth Dexter-rice | Pediatrics | 1204 W Main Street Floor 6, Charlottesville, VA 22908-0816 | 2015-04-13 |
| 1578958526 | Kaitlin R. Blackard | Pediatrics | 1204 Main St Fl 6, Charlottesville, VA 22908-0816 | 2015-04-06 |
| 1215270558 | Erin Suzanne Kalan | Pediatrics | 111 Apple Tree Rd, Charlottesville, VA 22903-2906 | 2013-04-05 |
| 1760688105 | Valentina J. Intagliata | Pediatrics | 1105 W Main St Rm 1421, Charlottesville, VA 22903-2821 | 2007-06-22 |
| 1053526210 | Jason M Glover | Pediatrics | Lee Street 4th Floor, Charlottesville, VA 22908-0001 | 2007-05-11 |
| 1447329081 | Heather R. Quillian | Pediatrics | 2955 Ivy Rd Ste 303, Charlottesville, VA 22903-9353 | 2006-11-07 |
| 1841370566 | Kathryn A Cook | Pediatrics | 895 B Rio East Court, Charlottesville, VA 22901 | 2006-10-17 |
| 1538252291 | Eric Norman Rydland | Pediatrics | 1921 Commonwealth Dr, Charlottesville, VA 22901-2382 | 2006-10-02 |
| 1487681581 | James Linn Plews-ogan | Pediatrics | 1412 Sachem Pl, Suite 203, Charlottesville, VA 22901-2499 | 2006-06-26 |
| 1043251499 | Ina Stephens | Pediatrics | 2335 Seminole Ln, Charlottesville, VA 22901-8303 | 2006-06-09 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22908 |
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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.