Organization Active NPI

Gary a Renard MD PC

  • Internal Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1417124355
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GARY A RENARD MD PC
Practice address
555 Barclay Cir Ste 555
Rochester Hills, MI 48307-4555
Phone
(248) 299-5779
Fax
(248) 299-6917
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Gary A Renard, MD
Title
President
Phone
(248) 299-5777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

555 Barclay Cir Ste 555
Rochester Hills, MI 48307-4555

Mailing address

555 Barclay Cir Ste 555
Rochester Hills, MI 48307-4555
Phone (248) 299-5779

National Provider Directory

National Provider Directory

Locations

555 Barclay Cir
Ste 555
Rochester Hills, MI 48307
Phone (248) 299-5779

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1417124355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 BARCLAY CIR STE 555",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074555",
            "telephone_number": "248-299-5779",
            "fax_number": "248-299-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BARCLAY CIR STE 555",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074555",
            "telephone_number": "248-299-5779",
            "fax_number": "248-299-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY A RENARD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "RENARD",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-299-5777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.