THERESIA RENNER PA-C
NPI 1740387372
Physician Assistant - Surgical in Madisonville, KY

Active since September 17, 2006
200 CLINIC DR, MADISONVILLE, KY 42431(270) 825-7200 Get Directions Write a Review

NPPES record last updated: April 19, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theresia Renner Pa-c NPPES

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

THERESIA RENNER PA-C (NPI 1740387372) is an individual surgical provider in Madisonville, Kentucky, licensed in Kentucky (PA195) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1740387372
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameTHERESIA RENNERCredential: PA-C
Location Address200 CLINIC DRMadisonville, KY 42431-1661
Mailing Address200 Clinic DrMadisonville, KY 42431-1661 · (270) 825-7200
Sole ProprietorNo
Enumeration DateSeptember 17, 2006
Last NPPES UpdateApril 19, 2011
NPI 1740387372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in KY · PA195
200 CLINIC DR, Madisonville, KY 42431

Other Identifiers 8

Other000000107779Bcbs Provider Number
Medicare PIN0374596
OtherPA195KY · License
Medicare PINP400034781KY
Medicare PIN00280078KY
Medicare PIN970011420KY
Medicare PIN0691624
Medicare UPINR38182

Other Providers at the Same Location NPPES 20

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

Case Manager/Care Coordinator
200 CLINIC DR
MADISONVILLE, KY 42431
Family Medicine
200 CLINIC DR
MADISONVILLE, KY 42431
Psychiatry & Neurology (Neurology)
200 CLINIC DR
MADISONVILLE, KY 42431
Internal Medicine (Nephrology)
200 CLINIC DR
MADISONVILLE, KY 42431
Orthopaedic Surgery
200 CLINIC DR
MADISONVILLE, KY 42431
Family Medicine
200 CLINIC DR
MADISONVILLE, KY 42431
Counselor
200 CLINIC DR
MADISONVILLE, KY 42431
200 CLINIC DR
MADISONVILLE, KY 42431

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 Theresia Renner's NPI number?

The NPI number for Theresia Renner is 1740387372. It was assigned to this individual provider in the NPPES registry on September 17, 2006.

Where is Theresia Renner located?

Theresia Renner practices at 200 Clinic Dr, Madisonville, KY 42431. The listed phone number is (270) 825-7200.

What is Theresia Renner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Theresia Renner was last updated on April 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.