Marvin Rennard, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

2002002110 Issued in MO

Practice address

800 S Hanley Rd Apt 3a
3A
Saint Louis, MO 63105-2689

Phone

(314) 727-1400

Fax

(314) 727-3841

NPI assigned

Mar 12, 2009

Last updated

Mar 12, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1245471838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SO HANLEY RD",
            "address_2": "3A",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631052689",
            "telephone_number": "314-727-1400",
            "fax_number": "314-727-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S HANLEY RD APT 3A",
            "address_2": "3A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052689",
            "telephone_number": "314-727-1400",
            "fax_number": "314-727-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNARD",
        "first_name": "MARVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2002002110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamika L Renfroe
• Dave Anand Rengachary, M.D.
• Arvind Rengarajan, MD
• Sunaina Rengarajan, MD
• Nichole Marie Renn, EDD
• Brooke Ann Rennels, CRNA
• Elizabeth A Renner, RN
• Matthew Edward Renner, PT
• Hilary Elizabeth Reno, MD
• Allison M Renschen, NP

• Obstetrics & Gynecology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Obstetrics & Gynecology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.