Katie Mae Brenner, D.O.
Individual provider Active NPI Family Medicine Physician · Orrville, OH
NPI 1942641691 · NPPES record last updated Mar 28, 2018
Key facts
- NPI
- 1942641691
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 34.012002 (OH)
- Practice address
- 830 S Main St
Orrville, OH 44667-2291 - Phone
- (330) 684-2015
- Fax
- (330) 684-2075
- NPI assigned
- Jul 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 12
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orrville Hospital Foundation
Practice addresses (Care Compare)
830 S Main St
Orrville, OH 44667-2291
Phone (330) 684-2015
Hospital & facility affiliations
- Aultman Orrville Hospital
- Wooster Community Hospital
- Aultman Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161024001571 | OH | Practitioner - Family Practice | 1456640580 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.012002 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orrville Hospital Foundation | Current |
Accepting new patients | |
| Orrville Hospital Foundation | Current |
Accepting new patients | |
| Orrville Hospital Foundation | Past | Accepting new patients |
Locations
830 S Main St
Orrville, OH 44667
Phone (330) 684-2015
830 S Main St
Ste 511
Orrville, OH 44667
Phone (330) 684-2015
832 S Main St
Orrville, OH 44667
Phone (330) 456-2695
830 S Main St
Ste 59
Orrville, OH 44667
Interoperability endpoints
- katie.brenner@direct.aultman.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Acute Care Hospital | 282NR1301X | |||
| Family Medicine Physician | 207Q00000X | 34.012002 | OH | Yes |
Addresses
Primary practice location
830 S Main St
Orrville, OH 44667-2291
Mailing address
830 S Main St
Orrville, OH 44667-2291
Phone (330) 684-2015
Other names
- Katie Ritzman
Other providers in Orrville, OH
- Best Life Health Care Services, LLC
- Angela Dawn Bratcher
- Alexander Michael Braun
- Brenn-Field Nursing Center Inc.
- Karen Marie Brenneman
- Douglas R Brown
- Patricia Ann Brown
- Donna Jean Bunner
- Walter L Burgan III
- Candice Calame
All providers in Orrville, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.