RENNER S. ANDERSON M.D. – NPI #1902883556
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

RENNER ANDERSON is a physician located in MINNETONKA, MN. NPPES has assigned the NPI number 1902883556 to RENNER ANDERSON on December 26, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 15 years ago on Oct 20, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RENNER ANDERSON below.

NPI Profile for
RENNER S. ANDERSON

NPI Number
1902883556
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RENNER S. ANDERSON
Credentials
M.D.
Primary location
15111 TWELVE OAKS CENTER DR
MINNETONKA, MN 55305-5201
Phone: (952) 993-4500 Fax:
Mailing address
6465 WAYZATA BLVD
STE 315
ST LOUIS PARK, MN 55426-1728
Phone: Fax:
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for RENNER ANDERSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMN699503900
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
MN 24434

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.