DR. JOHN ARTHUR RENNER JR.


Address: 251 Causeway St, Va Outpatient Clinic, Boston, MA 02114-2148
Phone: 6172481022

DR. JOHN ARTHUR RENNER JR. (NPI# 1205937026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205937026
Entity Type Individual
Full Name DR. JOHN ARTHUR RENNER JR.
Credential M.D.
Practice Address 251 Causeway St
Va Outpatient Clinic
Boston
MA 02114-2148
Mailing Address 11 Braddock Park
Unit A
Boston
MA 02116-5816
Practice Telephone 6172481022
Practice Fax Number 6172481121
Mailing Telephone 6172678816
Enumeration Date 2006-09-26
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0802X Psychiatry & Neurology
Specialization: Addiction Psychiatry
29371 MA Allopathic & Osteopathic Physicians

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1710397534 John Renner Case Manager/Care Coordinator 847 Ne 19th Ave, Portland, OR 97232-2684 2014-05-01
1144202631 John W Renner Radiology 200 W Arbor Dr, San Diego, CA 92103-9000 2005-11-18

Office Location

Street Address 251 CAUSEWAY ST
VA OUTPATIENT CLINIC
City BOSTON
State MA
Zip Code 02114-2148

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215995410 Boston Vamc Department of Veterans Affairs (VA) Pharmacy 251 Causeway St, Boston, MA 02114-2148 2006-05-04
1720691819 Sasha Marianna Dias Social Worker 251 Causeway St, Boston, MA 02114-2148 2020-08-28
1649830894 Olivia Finnegan Social Worker 251 Causeway St, Boston, MA 02114-2148 2019-06-19
1982110409 Jessica Mcleod Social Worker 251 Causeway St, Boston, MA 02114-2148 2017-12-20
1205214012 Vanessa Lyn Weekley Social Worker 251 Causeway St, Boston, MA 02114-2148 2015-05-12
1730584624 Eric Lefevre Social Worker 251 Causeway St, Boston, MA 02114-2148 2014-11-04
1609157411 Meghan Shanahan Registered Nurse 251 Causeway St, 3rd Floor, Boston, MA 02114-2148 2011-09-07
1508146358 Patricia Jeanne Lieber Social Worker 251 Causeway St, Boston, MA 02114-2148 2011-08-25
1982918850 Nicole Bosse Pharmacist 251 Causeway St, Boston, MA 02114-2148 2010-08-03
1528224409 Denise Marie Flynn Social Worker 251 Causeway St, Boston, MA 02114-2148 2008-07-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588276281 Guoliang Qiao Student in an Organized Health Care Education/Training Program Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 2020-08-24
1881223741 Alexander Wesley Zirulnik Student in an Organized Health Care Education/Training Program 55 Fruit St. Boston, Boston, MA 02114 2020-04-03
1376170548 Mia Yu Bothwell Student in an Organized Health Care Education/Training Program Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 2020-03-26
1225661036 David Dongkyung Kim Student in an Organized Health Care Education/Training Program 6 Whittier Place, Apartment 15b, Boston, MA 02114 2020-02-20
1124651658 Madeleine Sertic Student in an Organized Health Care Education/Training Program Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 2020-02-12
1285274498 Jiuk James Jung Student in an Organized Health Care Education/Training Program 15 Parkman Ave, Wang 4-460, Boston, MA 02114 2020-01-15
1831740448 Jennifer Hughes Physician Assistant 55 Fruit Street, Founders 110, Boston, MA 02114 2019-09-25
1558827220 Aluma Chovel Sella Student in an Organized Health Care Education/Training Program Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 2019-02-18
1083187140 Henry Oliveras Massage Therapist 102 Charles Street, Boston, MA 02114 2019-01-10
1720550031 Nicole M Price Social Worker 29 Staniford St, Boston, MA 02114 2018-12-27
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Taxonomy Information

Taxonomy Code 2084P0802X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Addiction Psychiatry

Taxonomy Definition

Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932574274 Carlos Suarez, Md, Pllc Psychiatry & Neurology 29 Commonwealth Ave, Suite 906, Boston, MA 02116-2349 2015-12-12
1497804702 Nancy Carol Nitenson Psychiatry & Neurology Ten Post Office Square, 8th Floor, Boston, MA 02109 2007-01-09
1508939844 Suzanne Bird Psychiatry & Neurology 55 Fruit St, Boston, MA 02114-2621 2006-11-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245856335 Mcat LLC Psychiatry & Neurology 3 Brighton St, Belmont, MA 02478-4007 2020-06-24
1427673136 Ronald Bugaoan Md LLC Psychiatry & Neurology 225 Water St Ste A140, Plymouth, MA 02360-6248 2020-06-09
1861806192 Qaiser Shamshir Khan Psychiatry & Neurology 55 Lake Ave N # S7-831, Worcester, MA 01655 2014-06-14
1083894059 Juan R Condemarin Psychiatry & Neurology 129 Bigelow St, Brighton, MA 02135-1639 2007-11-07
1548454671 Alfredo R Chan Md PC Psychiatry & Neurology 105 Webster St Ste 6, Hanover, MA 02339-1227 2007-08-31
1669666947 John Dmochowski, Md PC Psychiatry & Neurology 31 Meltiah Rd, Falmouth, MA 02540-1843 2007-08-30
1093876609 Robert Long Kelley Psychiatry & Neurology 20 Hope Ave Suite 201, Waltham, MA 20453 2006-12-13
1306896527 Ethan Samuel Rofman Psychiatry & Neurology 123 Grant Ave, Newton Centre, MA 02459-1350 2006-05-10
1497734768 Laurence Evans Ducomb Psychiatry & Neurology 49 Robinwood Ave, The Arbour Hospital, Jamaica Plain, MA 02130 2006-01-13
1033103247 Kenneth Minkoff Psychiatry & Neurology 100 Powdermill Rd # 319, Acton, MA 01720-5932 2005-09-02
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Competitor

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City BOSTON
Zip Code 02114

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Dataset Information

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.

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