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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2101 DUBOIS DR |
| City | WARSAW |
| State | IN |
| Zip Code | 46580-3210 |
| 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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| 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 |
| Find all providers in zip 46580 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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] |
| 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 |
| 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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| 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.