ZACHARY THOMAS RENEW


Address: 2101 Dubois Dr, Warsaw, IN 46580-3210
Phone: 5742673200

ZACHARY THOMAS RENEW (NPI# 1285262329) 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) 1285262329
Entity Type Individual
Full Name ZACHARY THOMAS RENEW
Practice Address 2101 Dubois Dr
Warsaw
IN 46580-3210
Mailing Address 4314 Palace Ln
Fort Wayne
IN 46808-0006
Practice Telephone 5742673200
Mailing Telephone 7062642821
Enumeration Date 2020-04-01
Last Update Date 2020-04-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 2101 DUBOIS DR
City WARSAW
State IN
Zip Code 46580-3210

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619951233 Diagnostic Imaging of In PC Radiology 2101 Dubois Dr, Warsaw, IN 46580-3210 2005-12-06
1679173306 Warsaw Health System LLC Medicare Defined Swing Bed Unit 2101 Dubois Dr, Warsaw, IN 46580-3210 2020-10-30
1851902621 Kristen M Bagot Nurse Practitioner 2101 Dubois Dr, Warsaw, IN 46580-3210 2020-08-13
1134605488 Tiffany Hines Nurse Anesthetist, Certified Registered 2101 Dubois Dr, Warsaw, IN 46580-3210 2018-07-18
1639526007 Daniel Enyinnaya Nwankwo Internal Medicine 2101 Dubois Dr, Warsaw, IN 46580-3210 2016-05-16
1982857264 Brian A. Crabill Physician Assistant 2101 Dubois Dr, Warsaw, IN 46580-3210 2008-10-30
1649426180 Brian Gerrit Ockerse Hospitalist 2101 Dubois Dr, Warsaw, IN 46580-3210 2008-08-15
1558536623 M. Beardslee Anesthesia Svc. Psc Nurse Anesthetist, Certified Registered 2101 Dubois Dr, Marilene Beardslee C/o Kosciusko Community Hospital, Warsaw, IN 46580-3210 2008-04-29
1609064328 Penny Jean Zorn Dietitian, Registered 2101 Dubois Dr, Warsaw, IN 46580-3210 2007-10-09
1336337054 Kelley Anne Meyer Dietitian, Registered 2101 Dubois Dr, Warsaw, IN 46580-3210 2007-10-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346803772 Amber Rae Parker Physical Therapy Assistant 2695 Shelden St., Warsaw, IN 46580 2019-04-22
1194255794 Tyler Scott Kronk Counselor 105 Enterprise Drive, Warsaw, IN 46580 2017-06-15
1306244231 Indiana Physical Therapy, Inc. Clinic/Center 3300 Lake City Hwy., Warsaw, IN 46580 2014-12-09
1922434687 Yen Thi Vu Pharmacist 2400 East Center St, Warsaw, IN 46580 2013-09-25
1982956934 Marsha Lynn Dreyer Occupational Therapy Assistant 300 E. Prairie Street, Warsaw, IN 46580 2012-10-15
1215286109 Planned Parenthood of Indiana Warsaw Clinic/Center 630 S. Buffalo St., Suite 1, Warsaw, IN 46580 2012-09-06
1952636243 Magdi Gabriel Orthopaedic Surgery 2087 Phaesant Ridge Drive, Warsaw, IN 46580 2009-10-05
1316132996 Assisted Living Concepts Inc Assisted Living Facility 425 Chinworth Court, Warsaw, IN 46580 2007-09-07
1598986101 Ericka Ester Haynes Occupational Therapist 900 Provident Drive, Warsaw, IN 46580 2007-05-01
1881819555 Hartwiger Enterprises, Inc. Home Health 3510 Commerce Dr., Warsaw, IN 46580 2007-04-16
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093958019 Chelsea Gazelle Coogan-bassett Student in an Organized Health Care Education/Training Program 32 W Court St, Warsaw, NY 14569-1222 2009-04-07
1609352863 Ashley Perez Student in an Organized Health Care Education/Training Program 2621 E Jefferson St, Warsaw, IN 46580-3880 2018-07-11
1487989364 Lamar F Shannon Student in an Organized Health Care Education/Training Program 206 N Front St, Warsaw, NC 28398-1833 2009-10-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982204442 Stephanie Copeland Student in an Organized Health Care Education/Training Program 2508 Castor Ln, Madison, IN 47250-2496 2020-10-26
1801493226 Justin Clark Student in an Organized Health Care Education/Training Program 7337 Wythe Dr, Noblesville, IN 46062-7785 2020-10-08
1962009639 Raegan Michelle Walther Student in an Organized Health Care Education/Training Program 8489 W 700 N, Fair Oaks, IN 47943-8527 2020-10-06
1255938197 Christopher Rodney West Student in an Organized Health Care Education/Training Program 8616 Burrell Ln, Indianapolis, IN 46256-6306 2020-10-05
1285241828 Paris Janee Avant Student in an Organized Health Care Education/Training Program 8926 Mario Creek Dr, Indianapolis, IN 46234 2020-09-28
1740897362 Taylor Traub Student in an Organized Health Care Education/Training Program 12890 Old Meridian St Apt 350, Carmel, IN 46032-8934 2020-09-28
1962016931 Grant Sylvester Olsen Student in an Organized Health Care Education/Training Program 3910 Newport Ave Apt 13, Fort Wayne, IN 46805-1383 2020-09-07
1992318158 Maria Yvette Borden Student in an Organized Health Care Education/Training Program University of Indianapolis, Health Pavilion 253, Indianapolis, IN 46217 2020-08-27
1073126504 Emily Marie Shoupe Student in an Organized Health Care Education/Training Program 15342 Monterosa Dr, Granger, IN 46530-9494 2020-08-25
1619589546 Connor Gemlick Student in an Organized Health Care Education/Training Program 1918 Carew St., Fort Wayne, IN 46805 2020-08-21
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Competitor

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City WARSAW
Zip Code 46580

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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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