Andrew Ihor Renner
Surgery

Address: 2701 W Alameda Ave, Suite 300, Burbank, CA 91505-4402
Phone: 8188431497

Andrew Ihor Renner (NPI# 1275511032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1275511032
Entity Type Individual
Full Name Andrew Ihor Renner
Credential MD
Gender Male
Practice Address 2701 W Alameda Ave
Suite 300
Burbank
CA 91505-4402
Practice Telephone 8188431497
Practice Fax Number 8188435283
Mailing Address 2701 W Alameda Ave
Suite 300
Burbank
CA 91505-4402
Sole Proprietor Not Answered
Enumeration Date 2006-01-03
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 208600000X Surgery Allopathic & Osteopathic Physicians G42417 CA

Other Provider Identifier

State Identifier Issuer Type Code
CA 00G424170 MEDICAID

Other Providers ANDREW RENNER

NPI Name Taxonomy Address Enumeration
1740623719 Andrew Renner Student in an Organized Health Care Education/Training Program 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 2013-04-09
1801857347 Andrew Michael Renner Specialist/Technologist 1 Memorial Dr, Alton, IL 62002-6722 2006-03-31

Physician Overview

NPI 1275511032
PAC ID by PECOS 3870774870
Professional Enrollment ID I20110224000152
Full Name Andrew Ihor Renner
Phone Number 8188431497
Gender M
Medical School ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year 1975
Primary Specialty GENERAL SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050235 PROVIDENCE SAINT JOSEPH MEDICAL CTR
050126 VALLEY PRESBYTERIAN HOSPITAL
050755 SHERMAN OAKS HOSPITAL
050158 ENCINO HOSPITAL MEDICAL CENTER

Office Location

Street Address 2701 W ALAMEDA AVE
SUITE 300
City BURBANK
State CA
Zip Code 91505-4402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558363416 Marc L Ladenheim Internal Medicine 2701 W Alameda Ave, Ste 607, Burbank, CA 91505-4411 2005-08-11
1386186781 Buena Vista Surgery Center, LLC Clinic/Center 2701 W Alameda Ave, Suite 401b, Burbank, CA 91505-4402 2016-11-16
1528517414 Orthopaedic Surgery Specialists Burbank Occupational Therapist 2701 W Alameda Ave, Suite 206, Burbank, CA 91505-4402 2016-10-03
1295289767 Olivia Thomas Physical Medicine & Rehabilitation 2701 W Alameda Ave, Suite 401, Burbank, CA 91505-4402 2016-08-12
1730633462 Robert A Pacheco Physical Medicine & Rehabilitation 2701 W Alameda Ave, Suite 206, Burbank, CA 91505-4402 2016-08-11
1134598550 All In One Surgery Center Clinic/Center 2701 W Alameda Ave, Suite 308, Burbank, CA 91505-4402 2015-09-15
1013306364 Marc Ladenheim Md Facc Inc Internal Medicine 2701 W Alameda Ave, Suite 607, Burbank, CA 91505-4402 2015-01-09
1700281847 Bethany Kum Dentist 2701 W Alameda Ave, Suite 600, Burbank, CA 91505-4402 2014-10-31
1003259060 Roger Joseph Mah Corporation Anesthesiology 2701 W Alameda Ave, Ste. #602, Burbank, CA 91505-4402 2013-04-09
1295070399 Burbank Surgery Center, Inc Clinic/Center 2701 W Alameda Ave, Suite 602, Burbank, CA 91505-4402 2012-11-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699204974 Beth Ellen Izbotsky Physical Medicine & Rehabilitation 501 S Buena Vista Blvd, Burbank, CA 91505 2017-06-08
1205387446 Fabiola Bachman Dentist 138 N Pass Ave, 2, Burbank, CA 91505 2016-10-24
1114478203 Marianna Ghularyan D.d.s. Inc Dentist 1400 N. Edison Blvd., Burbank, CA 91505 2016-10-24
1962952127 Landa Mizin Dental Partnership Dentist 2625 W Alameda Ave Ste 502, Burbank, CA 91505 2016-10-11
1306238381 Abigail Merrin Specialist/Technologist 2701 W Alameda Ave Ste 206, Burbank, CA 91505 2015-02-26
1295123669 East Valley Audiology Audiologist 191 So. Buena Vista, Suite 320-a, Burbank, CA 91505 2015-01-07
1609270693 Deborah Lakeman Marriage & Family Therapist 3808 Riverside Drive, Suite 503, Burbank, CA 91505 2014-10-20
1730505348 Anka Behavioral Health, Inc. Community/Behavioral Health 2120 N Maple St, Burbank, CA 91505 2014-03-07
1811313422 Anka Hehavioral Health, Inc. Community/Behavioral Health 3318 W Wyoming Ave, Burbank, CA 91505 2014-03-07
1467883868 Medtown Rx Inc Pharmacy 4128 W Burbank Blvd, Burbank, CA 91505 2013-12-10
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265652242 Mikael Petrosyan Surgery 3128 Highland View Dr, Burbank, CA 91504-1613 2007-05-01
1750590667 Raymond A. Shofler, M.d. A Medical Corporation Surgery 2601 W Alameda Ave, Suite 314, Burbank, CA 91505-4800 2007-05-21
1316021876 Raymond Allen Shofler Surgery 2601 W Alameda Ave, Suite 314, Burbank, CA 91505 2006-10-24
1245334309 Steve F Heslov Surgery 191 S Buena Vista St, Burbank, CA 91505-4554 2006-09-11
1922118017 Deanna J. Attai Surgery 191 S Buena Vista St, Suite 415, Burbank, CA 91505-4554 2006-08-30
1902839517 Ambrose S. Masto, M.d., A Medical Corporation Surgery 3808 W Riverside Dr, 400, Burbank, CA 91505-4325 2006-07-08
1699708206 Scott P. Sligh, M.d., A Medical Corporation Surgery 3808 W Riverside Dr, #400, Burbank, CA 91505-4325 2006-07-08
1104869056 Scott P. Sligh Surgery 3808 W Riverside Dr, Suite#400, Burbank, CA 91505-4325 2006-06-14
1679511067 Carie L Mcvay Surgery 201 S Buena Vista St, Suite 425, Burbank, CA 91505-4569 2006-06-04
1760421150 Ambrose S. Masto Surgery 3808 W Riverside Dr, Ste#400, Burbank, CA 91505-4325 2006-06-04
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Competitor

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City BURBANK
Zip Code 91505

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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