| Dr Ren M Ariizumi, MD | |
|
9576 Hwy 70, Minocqua, WI 54548-9067 | |
| (715) 358-1000 | |
| Not Available |
| Full Name | Dr Ren M Ariizumi |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 8 Years |
| Location | 9576 Hwy 70, Minocqua, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255832762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 72402-20 (Wisconsin) | Primary |
| 207L00000X | Anesthesiology | 0101275609 (Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cjw Medical Center | Richmond, VA | Hospital |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dogwood Anesthesia Providers Llc | 2769853084 | 158 |
| Smg Anesthesia Specialists Llc | 6305081118 | 235 |
| Mchs Hospitals Inc | 5698071173 | 1045 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861552721 PECOS PAC ID: 3779495858 Enrollment ID: O20031105000744 |
| Entity Name | Smg Anesthesia Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518205004 PECOS PAC ID: 6305081118 Enrollment ID: O20130327000494 |
| Entity Name | Premier Anesthesia Of Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255986147 PECOS PAC ID: 1951722362 Enrollment ID: O20200610001253 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1114677572 PECOS PAC ID: 3779495858 Enrollment ID: O20221111001583 |
| Entity Name | Dogwood Anesthesia Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982329900 PECOS PAC ID: 2769853084 Enrollment ID: O20230125000989 |
| Entity Name | Surgical Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811930647 PECOS PAC ID: 5890739205 Enrollment ID: O20230130001161 |
| Entity Name | Inova Cares - Community |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861131906 PECOS PAC ID: 9537526330 Enrollment ID: O20230609002576 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ren M Ariizumi, MD 2307 Sweet Pepperbrush Loop, Dumfries, VA 22026-3052 Ph: (917) 836-7746 | Dr Ren M Ariizumi, MD 9576 Hwy 70, Minocqua, WI 54548-9067 Ph: (715) 358-1000 |
Thomas H. Simpson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 9601 Townline Rd, Minocqua, WI 54548 Phone: 715-358-1000 |