Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174013932 Individual Practitioner Male Practitioner

Dr. Dalton Mark Renick , DO

Pediatrics • Roanoke, VA

Professional Overview & Biography Verified Profile Summary

Dr. Dalton Renick, DO is a registered healthcare professional specializing in Pediatrics in Roanoke, VA. Practice services are available at 4040 POSTAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4040 Postal Dr

Roanoke, VA 240186438

Telephone 5407724453
Fax 5407724717
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Roanoke, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
74 Specialists

Practicing in Roanoke, VA (2079 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

CMS Verified: 2022-08-18
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VA 0102206530

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License SC LL51961

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.

Practice Associates & Co-Workers

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

10 Associated Practitioners
Quianna Flood , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1043808231

CPNPPC

NPI 1083686919

Doctor of Medicine (M.D.)

NPI 1164496758

Doctor of Medicine (M.D.)

NPI 1235525957

Doctor of Medicine (M.D.)

NPI 1275536831

Doctor of Medicine (M.D.)

NPI 1376516146

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address August 18, 2022

Registered at 213 S JEFFERSON ST STE 1006, ROANOKE, VA 240111713 (Tel: 5402245715)

📍
Updated Practice Location November 10, 2021

Registered at 4040 POSTAL DR, ROANOKE, VA 240186438 (Tel: 5407724453)

NPI Profile Active May 16, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2018

Registered at PEDIATTRIC OUTPATIENT CENTER, 14 MEDICAL PARK, STE 400, COLUMBIA, SC 29203 (Tel: 8034346155)

📍
Updated Business Mailing Address May 16, 2018

Registered at PEDIATTRIC OUTPATIENT CENTER, 14 MEDICAL PARK, STE 400, COLUMBIA, SC 29203 (Tel: 8034346155)

👤
Provider Name / Credentials Updated May 16, 2018

Recorded as DALTON RENICK, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2018

Pediatrics (License #LL51961 in SC)

🟢
Initial NPI Registration & Enumeration May 16, 2018

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: 1174013932
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2018
Last Update: August 18, 2022
Sole Proprietor: No

Mailing Address

213 S Jefferson St Ste 1006

Roanoke, VA 240111713

Phone: 5402245715

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.