Robert Martin Rennebohm, M.D.

Primary specialty

Pediatric Rheumatology PhysicianTaxonomy code 2080P0216X

License

35047209 Issued in OH

Practice address

9500 Euclid Ave Crile BLDG. Desk Aiii
Cleveland Clinic
Cleveland, OH 44195

Phone

(216) 445-6626

Fax

(216) 445-3797

NPI assigned

Sep 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1629064431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE CRILE BLDG. DESK AIII",
            "address_2": "CLEVELAND CLINIC",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44195",
            "telephone_number": "216-445-6626",
            "fax_number": "216-445-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE CRILE BLDG. DESK AIII",
            "address_2": "CLEVELAND CLINIC",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44195",
            "telephone_number": "216-445-6626",
            "fax_number": "216-445-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNEBOHM",
        "first_name": "ROBERT",
        "middle_name": "MARTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "OH",
            "license": "35047209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0105434000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64789407",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0478531",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chaleah Renfroe
• Brittany Janea Renfrow, LPN
• Mayvalle Renguul
• Laura Ellen Renkel, RPH
• Nellie N Renko, MSN
• Derek Thomas Renner, DO
• Kayla Renner, DO
• Kerry Ann Renner, PH.D.
• Lauren Paige Renner
• Mallory Renner

• Pediatric Rheumatology Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Pediatric Rheumatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.