RENAISSANCE PLASTIC SURGERY P.C. (NPI# 1134278401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134278401 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE PLASTIC SURGERY P.C. |
| Practice Address |
85 E Big Beaver Rd Troy MI 48083 |
| Practice Telephone | 5867793030 |
| Practice Fax Number | 5867796733 |
| Mailing Telephone | 5867793030 |
| Mailing Fax Number | 5867796733 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | WILLIAM A STEFANI (OWNER) |
| Authorized Official Telephone | 5867793030 |
| Is Organization Subpart | Y |
| Parent Organization Name | RENAISSANCE PLASTIC SURGERY P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | ========= | MI | Other Service Providers |
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NPI | 1710993217 | 01 |
| MI | BLUE CROSS | OEO1025 | 01 |
| MI | NPI | 1447266945 | 01 |
| MI | 4134951 | 05 | |
| MI | 3078606 | 05 |
| Street Address |
85 E BIG BEAVER RD |
| City | TROY |
| State | MI |
| Zip Code | 48083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447266945 | William A Stefani | Plastic Surgery | 85 E Big Beaver Rd, Troy, MI 48083-1262 | 2006-08-01 |
| 1487894754 | George S Miguel | Plastic Surgery | 85 E Big Beaver Rd, Troy, MI 48083-1262 | 2009-02-26 |
| 1407058936 | Leah C Macmartin | Dermatology | 85 E Big Beaver Rd, Troy, MI 48083-1262 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| Find all providers in zip 48083 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669957510 | Deandra Perez | Specialist | 16 Blakley Ct Fl 1, Troy, NY 12180-5820 | 2018-09-26 |
| 1538677588 | Peak Neurophysiology Group, LLC | Specialist | 13 Stoneledge Dr Apt 11, Troy, NY 12182-3519 | 2018-01-11 |
| 1740728013 | Upstate Physician Services, PC | Specialist | 2001 5th Avenue, Suite 110, Troy, NY 12180 | 2017-02-07 |
| 1891230454 | Pure Healthy Back | Specialist | 1500 W Big Beaver Rd Ste 150, Troy, MI 48084-3552 | 2017-01-05 |
| 1831563527 | Sabrina L Pennington | Specialist | 104 Emily Ct, Troy, AL 36079-2981 | 2015-11-18 |
| 1992100358 | Catherine Rinella | Specialist | 1098 Spring Avenue Ext, Troy, NY 12180-7313 | 2014-10-28 |
| 1518383256 | Jennifer Bobersky | Specialist | 3 Patricia Dr, Troy, NY 12180-6132 | 2014-03-05 |
| 1699103796 | Helen Rezey | Specialist | 6 Greene St, Troy, NY 12180-6720 | 2013-10-29 |
| 1346591641 | Robin Jean Kennedy | Specialist | 597 Third Ave., Troy, NY 12182 | 2012-09-26 |
| 1770834210 | Andrew Mcnally | Specialist | 3226 Veterans Stadium Dr, Troy, AL 36082-0001 | 2012-09-24 |
| Find all providers in TROY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.