Paula M Renzi, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

055122 Issued in CT

Practice address

819 Worcester St Ste 3
Indian Orchard, MA 01151-1056

Phone

(413) 543-6820

Fax

(413) 543-7962

NPI assigned

Oct 16, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1730414293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 WORCESTER ST",
            "address_2": "STE 3",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011511056",
            "telephone_number": "413-543-6820",
            "fax_number": "413-543-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 WORCESTER ST STE 3",
            "city": "INDIAN ORCHARD",
            "state": "MA",
            "postal_code": "011511056",
            "telephone_number": "413-543-6820",
            "fax_number": "413-543-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENZI",
        "first_name": "PAULA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-16",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "055122",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "DO00865",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2007860",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela M Peterson, LMHC
• Amiya Lynn Phillips
• Mary Margaret Quinn, RN
• Kimberly M Quinonez
• Surisadai Ramos, M.ED COUNSELING
• Respiro Azul LLC (RESPIRO AZUL: Non-residential hourly respite care for children with Autism and ADHD.)
• Estelle Santiago
• Elizabeth Santos, BS, LADC, CADC,
• Moataz Mohammed Shaban, BDS, DMD
• Anthony Dennis Smith, MS, LMHC

• Internal Medicine Physician in Indian Orchard, MA
• Providers in Indian Orchard, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.