Provider Demographics
NPI:1508992942
Name:RENSCHLER, JASON PAUL (MD)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:PAUL
Last Name:RENSCHLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 WESTFIELD RD
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-1425
Mailing Address - Country:US
Mailing Address - Phone:317-770-2800
Mailing Address - Fax:317-870-0499
Practice Address - Street 1:395 WESTFIELD RD
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-1425
Practice Address - Country:US
Practice Address - Phone:317-770-2800
Practice Address - Fax:317-870-0499
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01060092A207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200531740Medicaid
INP00837298OtherRAILROAD MEDICARE
IN000000649427OtherANTHEM
INP00837298OtherRAILROAD MEDICARE