Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902883556 Individual Practitioner Male Practitioner

Dr. Renner S Anderson , MD

Pediatrics • Minnetonka, MN

Professional Overview & Biography Verified Profile Summary

Dr. Renner Anderson, MD is a registered healthcare professional specializing in Pediatrics in Minnetonka, MN. Practice services are available at 15111 TWELVE OAKS CENTER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15111 Twelve Oaks Center Dr

Minnetonka, MN 553055201

Telephone 9529934500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Minnetonka, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.8 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
51 Specialists

Practicing in Minnetonka, MN (1325 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MN 24434

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
699503900 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Tanya Kohnen , DPT

Physical Therapist

NPI 1013401249

Doctor of Physical Therapy

Dr. Mary Beran , MD

Internal Medicine

NPI 1033196431

Doctor of Medicine (M.D.)

NPI 1104288901

Doctor of Medicine (M.D.)

NPI 1104800804

Doctor of Optometry

Joan Bagwell , WHC, NP

Nurse Practitioner - Women's Health

NPI 1124005624

WHC, Nurse Practitioner

Dr. Emmy Earp , MD

Family Medicine

NPI 1134355365

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 20, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 20, 2011

Registered at 15111 TWELVE OAKS CENTER DR, MINNETONKA, MN 553055201 (Tel: 9529934500)

📍
Updated Business Mailing Address October 20, 2011

Registered at 6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 554261728

👤
Provider Name / Credentials Updated October 20, 2011

Recorded as RENNER ANDERSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2011

Pediatrics (License #24434 in MN)

🟢
Initial NPI Registration & Enumeration December 26, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902883556
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 26, 2005
Last Update: October 20, 2011
Sole Proprietor: Yes

Mailing Address

6465 Wayzata Blvd, Ste 315

St Louis Park, MN 554261728

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.