Michaela E Renich (NPI# 1841229127, PAC ID# 8527135847) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1841229127 |
| PAC ID by PECOS | 8527135847 |
| Professional Enrollment ID | I20080927000217 |
| Full Name | Michaela E Renich |
| Organization Legal Name | MOORESVILLE PPM LLC |
| Address |
417 E Statesville Ave Mooresville NC 28115-2590 |
| Phone Number | 7046642216 |
| Gender | F |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3577614791 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340129 | LAKE NORMAN REGIONAL MEDICAL CENTER |
| 340039 | IREDELL MEMORIAL HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 170 Medical Park Rd, Suite 102, Mooresville, NC 28117-8541 | 7046604750 | MOORESVILLE PPM LLC |
| 417 E Statesville Ave, Mooresville, NC 28115-2590 | 7046642216 | MOORESVILLE PPM LLC |
| Organization Legal Name | MOORESVILLE PPM LLC |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine Grace Wilson | Physician Assistant | Mooresville Ppm LLC | 396 Williamson Rd, Mooresville, NC 28117-5935 |
| Lillian M Conway | Nurse Practitioner | Mooresville Ppm LLC | 128 Argus Ln G, Mooresville, NC 28117-6973 |
| Elizabeth Rudisill Hayes | Nurse Practitioner | Mooresville Ppm LLC | 294 N Hwy 16, Suite A, Denver, NC 28037-8011 |
| Emily Rose Mcauley | Nurse Practitioner | Mooresville Ppm LLC | 157 Professional Park Dr A, Mooresville, NC 28117-5606 |
| Kevin B Vanhoy | Physician Assistant | Mooresville Ppm LLC | 798 Oak Ridge Farm Hwy, Suite A, Mooresville, NC 28115-7924 |
| Thomas E Gross | Family Medicine | Mooresville Ppm LLC | 417 E Statesville Ave, Mooresville, NC 28115-2590 |
| William R Doheny | Family Medicine | Mooresville Ppm LLC | 202 Williamson Rd, Suite 100, Mooresville, NC 28117-7610 |
| Michelle M Bertsch | General Surgery | Mooresville Ppm LLC | 131 Medical Park Rd, Mooresville, NC 28117-8525 |
| Monica L Webb | Physician Assistant | Mooresville Ppm LLC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Holly Layman Bernardini | Family Medicine | Mooresville Ppm LLC | 202 Williamson Rd, Suite 100, Mooresville, NC 28117-7610 |
| Street Address |
417 E STATESVILLE AVE |
| City | MOORESVILLE |
| State | NC |
| Zip | 28115-2590 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas E Gross | Family Medicine | Mooresville Ppm LLC | 417 E Statesville Ave, Mooresville, NC 28115-2590 |
| Matthew R Cirullo | Family Medicine | Mooresville Ppm LLC | 417 E Statesville Ave, Mooresville, NC 28115-2590 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julia Rossi | Qualified Audiologist | Carolina Hearing and Tinnitus, PC | 217 W Park Ave, Mooresville, NC 28115-2243 |
| Kathryn Jackson | Qualified Audiologist | Carolina Hearing and Tinnitus, PC | 217 W Park Ave, Mooresville, NC 28115-2243 |
| Sharon J Howard | Qualified Audiologist | Carolina Hearing and Tinnitus, PC | 217 W Park Ave, Mooresville, NC 28115-2243 |
| Peggy L Wike | Optometry | 622 N Main St, Mooresville, NC 28115-2312 | |
| Todd F Abernathy | Chiropractic | 612 N Main St, Moorseville, NC 28115-2312 | |
| Jennifer Mae Miller | Physician Assistant | 919 N Main St, Mooresville, NC 28115-2355 | |
| Alexander Ross Horowitz | Pediatric Medicine | 919 N Main St, Suite D, Mooresville, NC 28115-2355 | |
| Erin M Huneycutt | Clinical Social Worker | Turning Point Homes Inc | 919 N Main St, Mooresville, NC 28115-2355 |
| Pamela Jane Meeds | Psychologist, Clinical | 116 S Main St, Suite 207, Mooresville, NC 28115-2372 | |
| Karen T Watson | Clinical Social Worker | 116 S Main St, Suite 106, Mooresville, NC 28115-2372 | |
| Find all physicians in zip 28115 | |||
| City | MOORESVILLE |
| Zip Code | 28115 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MOORESVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michaela E Renich.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.