MR. PAUL A. RENZETTI (NPI# 1598201675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598201675 |
| Entity Type | Individual |
| Full Name | MR. PAUL A. RENZETTI |
| Credential | PA-C |
| Practice Address |
1000 E Broad St Columbus OH 43205-1381 |
| Mailing Address |
1000 E. Broad Street Columbs OH 43205-1333 |
| Practice Telephone | 6142523936 |
| Practice Fax Number | 6142514061 |
| Mailing Telephone | 6142523936 |
| Mailing Fax Number | 6142514061 |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 50.004946RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50.004946RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0208808 | 05 |
| Street Address |
1000 E BROAD ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43205-1381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124017348 | John Petrie | Pharmacist | 1000 E Broad St, Columbus, OH 43205-1381 | 2005-10-20 |
| 1578020970 | Jocelyn Grace Walker | Nurse Practitioner | 1000 E Broad St, Columbus, OH 43205-1381 | 2019-02-22 |
| 1922564608 | Kayla Nicole Perry | Pharmacy | 1000 E Broad St, Columbus, OH 43205-1381 | 2019-02-18 |
| 1811466014 | David Lee Cummings IIi | Nurse Practitioner | 1000 E Broad St, Columbus, OH 43205-1381 | 2018-11-16 |
| 1962919340 | Von I Alvarado | Nurse Practitioner | 1000 E Broad St, Columbus, OH 43205-1381 | 2018-01-07 |
| 1316484454 | Candy Smith | Pharmacy Technician | 1000 E Broad St, Columbus, OH 43205-1381 | 2017-01-27 |
| 1952843278 | Katherine Dumbaugh | Pharmacy Technician | 1000 E Broad St, Columbus, OH 43205-1381 | 2016-11-17 |
| 1942742499 | Sangita K Patel | Pharmacist | 1000 E Broad St, Columbus, OH 43205-1381 | 2016-11-15 |
| 1588115273 | Rxo, LLC | Family Medicine | 1000 E Broad St, Columbus, OH 43205-1381 | 2016-10-18 |
| 1891144127 | Bernadette Dorr | Psychologist | 1000 E Broad St, Suite 200, Columbus, OH 43205-1381 | 2016-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909404 | Celine Richard | Otolaryngology | Pediatric Ent Department, Nationwide Children's Hospita, 700 Children's Dr., Columbus, OH 43205 | 2020-07-09 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| 1740847946 | John M Williamson | Nurse Practitioner | 1441 Phale D. Hale, Columbus, OH 43205 | 2019-05-22 |
| 1811486699 | Kathy L Carter | Case Manager/Care Coordinator | 899 E. Broad Street Ste 150, Columbus, OH 43205 | 2018-05-07 |
| 1174012512 | Erin Crist | Genetic Counselor, MS | 700 Childrens Dr # T4d, Columbus, OH 43205 | 2018-05-01 |
| 1417451782 | Kimberly Banner | Case Manager/Care Coordinator | 1490 E Main Street, Columbus, OH 43205 | 2018-03-21 |
| 1336641539 | Nitisha Y Burkhead | Social Worker | 700 Chidren's Dr., Columbus, OH 43205 | 2018-03-02 |
| 1568981496 | Chris Allen York I | Counselor | 3035 W. Broad Steert, Arizona Counseling & Consultation, Columbus, OH 43205 | 2017-09-12 |
| 1144774407 | Tyler Rolfes | Nurse Practitioner | 444 Butterfly Gardens Dr., Columbus, OH 43205 | 2016-08-04 |
| 1902257876 | George Michael Ziegler | Pediatrics | 611 E Livingston Ave, Section of Neonatology, Columbus, OH 43205 | 2016-06-22 |
| Find all providers in zip 43205 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972960359 | Autumn Combs | Physician Assistant | 437 N Gould Rd Apt F, Columbus, OH 43209-1139 | 2016-01-15 |
| 1740665926 | Julianne Gonzalez | Physician Assistant | 350 Manchester Expy, Columbus, GA 31904-6435 | 2015-07-29 |
| 1629461165 | Michael Bryant | Physician Assistant | 911 Rudgate Rd, Columbus, GA 31904-2948 | 2015-03-09 |
| 1174880447 | Ricky Lee Martin Jr. | Physician Assistant | 2326 18th St Ste 210, Columbus, IN 47201-5362 | 2012-04-11 |
| 1710068374 | April K Howell | Physician Assistant | 2008 Wynnton Rd, Columbus, GA 31906-2407 | 2006-10-18 |
| 1124035399 | Diane L. Mitchell | Physician Assistant | 1130 Talbotton Rd, Columbus, GA 31904-8749 | 2006-08-01 |
| 1194752790 | Karen L Goodale | Physician Assistant | 2881 Nc Hwy 108 E, Columbus, NC 28722-7721 | 2006-06-27 |
| 1164469979 | Mark H Epps | Physician Assistant | 2000 10th Ave Ste 270, Columbus, GA 31901-3706 | 2006-06-01 |
| 1164484689 | Jim Lawrence Mcevers | Physician Assistant | 109 Shult Dr, Suite 101, Columbus, TX 78934-3015 | 2006-04-03 |
| 1972586287 | Susan A Farwell | Physician Assistant | 45 E Mills St, Columbus, NC 28722 | 2005-11-22 |
| Find all providers in COLUMBUS | ||||
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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.