Active NPI
Loren Clayton Schrenk, M.D.
- Ophthalmology Physician
- Saint Louis, MO
National Provider Identifier
1922002344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- R8F17
- Practice address
- 12818 Tesson Ferry Rd
Ste 201
Saint Louis, MO 63128-2945 - Phone
- (314) 843-4044
- Fax
- (314) 843-2941
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | R8F17 | MO | Primary |
| Ophthalmology Physician | 207W00000X | 03058639 | IL |
Addresses
Primary practice location
12818 Tesson Ferry Rd
Ste 201
Saint Louis, MO 63128-2945
Mailing address
12818 Tesson Ferry Rd
Ste 201
Saint Louis, MO 63128-2945
Phone (314) 843-4044
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036058639 | Medicaid | IL | |
| 202559308 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03058639 | IL | MD | Ophthalmology Physician |
| R8F17 | MO | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391472000000",
"number": "1922002344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12818 TESSON FERRY RD",
"address_2": "STE 201",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282945",
"telephone_number": "314-843-4044",
"fax_number": "314-843-2941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12818 TESSON FERRY RD",
"address_2": "STE 201",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282945",
"telephone_number": "314-843-4044",
"fax_number": "314-843-2941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRENK",
"first_name": "LOREN",
"middle_name": "CLAYTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2014-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MO",
"license": "R8F17",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "03058639",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036058639",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202559308",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.