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MS. RENEE N RUTHERFORD PA-C
NPI 1619166345
Physician Assistant in O Fallon, IL

Active since October 18, 2007
916 TALON DR, SUITE 102, O FALLON, IL 62269(618) 628-8211(618) 628-0883 Get Directions Write a Review

NPPES record last updated: August 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Renee N Rutherford Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. RENEE N RUTHERFORD PA-C (NPI 1619166345) is an individual physician assistant in O Fallon, Illinois, licensed in Illinois (085-003107) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1619166345
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. RENEE N RUTHERFORDCredential: PA-C
Location Address916 TALON DR, SUITE 102O Fallon, IL 62269-1848
Mailing Address916 Talon Dr, Suite 102O Fallon, IL 62269-1848 · (618) 628-8211 · Fax (618) 628-0883
Phone(618) 628-8211
Fax(618) 628-0883
Sole ProprietorNo
Enumeration DateOctober 18, 2007
Last NPPES UpdateAugust 21, 2008
✔ NPI 1619166345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085-003107
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
916 TALON DR, O Fallon, IL 62269
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RALPH DOUGLAS SPAFFORD P.A.-C
Physician Assistant (Medical)
916 TALON DR, SUITE 102
O FALLON, IL 62269
St. Clair County (618) 628-8211
MISS JESSICA ANN ZIMMERMAN MPT
Physical Therapist
916 TALON DR, SUITE 102
O FALLON, IL 62269
St. Clair County (618) 628-8211
SARA M LESTER MPT
Physical Therapist (Orthopedic)
916 TALON DR, SUITE 102
O FALLON, IL 62269
St. Clair County (618) 628-8211
DR. KRISTEN LYN PITTS DPT, PT
Physical Therapist
916 TALON DR
O FALLON, IL 62269
St. Clair County (618) 628-8211
JOHN STEVE VICK DC
Chiropractor
916 TALON DR, STE 102
O FALLON, IL 62269
St. Clair County (618) 628-8211
DME EDGE LLC
Durable Medical Equipment & Medical Supplies
916 TALON DR, SUITE B
O FALLON, IL 62269
St. Clair County (314) 799-2247
APG MEDICAL LABORATORY
Clinical Medical Laboratory
916 TALON DR, SUITE 102
O FALLON, IL 62269
St. Clair County (618) 628-8211
ASSOCIATED PHYSICIANS GROUP
Chiropractor
916 TALON DR, SUITE 102
O FALLON, IL 62269
St. Clair County (618) 628-8211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renee Rutherford's NPI number?

The NPI number for Renee Rutherford is 1619166345. It was assigned to this individual provider in the NPPES registry on October 18, 2007.

Where is Renee Rutherford located?

Renee Rutherford practices at 916 Talon Dr Suite 102, O Fallon, IL 62269. The listed phone number is (618) 628-8211.

What is Renee Rutherford's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Renee Rutherford was last updated on August 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.