Ingo Otto Rencken
Medical Specialty
Professional ID
- NPI: 1265456776
- PECOS ID: 8921092313
- Enrollment ID: I20040408001564
- Credential(MD, DO, DPM): MD
- Medical School:
- Medical School Graduation Year: 1984
Hospital Service
- Hospital CCN1: 051310
- Business Name (LBN)1: Frank R Howard Memorial Hospital
- Hospital CCN2: 051321
- Business Name (LBN)2: Healdsburg District Hospital
- Hospital CCN3: 050301
- Business Name (LBN)3: Ukiah Valley Medical Center
- Hospital CCN4: 050174
- Business Name (LBN)4: Santa Rosa Memorial Hospital
- Hospital CCN5: 051325
- Business Name (LBN)5: Mendocino Coast District Hospital
Medical Practices
- Organization Name: Northern California Imaging Associates Medical Group Inc
- Group Practice ID assigned by PECOS: 3476454430
- Number of Group Practice member: 7
Location
- Address1: 1 Marcela Dr
- Address2:
- City: Willits
- State: California
- Zip Code: 95490
- Phone Number: (707)456-3093
Location
- Address1: 1375 University St
- Address2:
- City: Healdsburg
- State: California
- Zip Code: 95448
- Phone Number: (707)431-6500
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):