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NPI Code Detail

MEDICARE: DR. THOMAS E RENCH M.D.

MEDICARE: DR. THOMAS E RENCH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician35-07-1239-ROH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952305781
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS E RENCH M.D.
Provider Business Mailing Address
First Line : 4573 REGAL DRIVE
Second Line :
City : COPLEY
State : OH
Zip : 44321
Country : US
Telephone Number : 216-362-2741
Fax Number :
Provider Business Practice Location Address
First Line : 12301 SNOW RD
Second Line :
City : PARMA
State : OH
Zip : 44130-1002
Country : US
Telephone Number : 216-862-2741
Fax Number : 216-862-2593
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 07/08/2007

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