Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Renee N Rutherford, PA-C

Individual provider Physician Assistant · NPI 1619166345

MS. Renee N Rutherford, PA-C is a Physician Assistant in O Fallon, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

916 Talon Dr Ste 102
O Fallon, IL 62269-1848
Phone: (618) 628-8211
Fax: (618) 628-0883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085-003107 (IL)

Record details

NPI number1619166345
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 18, 2007
Last updated in NPPESAugust 21, 2008
Mailing address916 Talon Dr, Suite 102, O Fallon, IL 62269-1848

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