RENAISSANCE MEDICAL MANAGEMENT COMPANY (NPI# 1174816227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174816227 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE MEDICAL MANAGEMENT COMPANY |
| Practice Address |
489 Devon Park Dr Suite 306 Wayne PA 19087-1809 |
| Practice Telephone | 6102547662 |
| Practice Fax Number | 6106878458 |
| Mailing Telephone | 6102547662 |
| Mailing Fax Number | 6106878458 |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-05-24 |
| Authorized Official Name | MR. PO CHOU (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6102542955 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
489 DEVON PARK DR SUITE 306 |
| City | WAYNE |
| State | PA |
| Zip Code | 19087-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982187779 | Hetal Patel | Speech-Language Pathologist | 489 Devon Park Dr, Wayne, PA 19087-1809 | 2018-09-08 |
| 1437699204 | Ashley Zimmerman | Speech-Language Pathologist | 489 Devon Park Dr, Wayne, PA 19087-1809 | 2017-02-27 |
| 1992243919 | Soraya Zarreii | Speech-Language Pathologist | 489 Devon Park Dr, #301, Wayne, PA 19087-1809 | 2017-02-09 |
| 1366813198 | Danielle Elizabeth Kreis | Speech-Language Pathologist | 489 Devon Park Dr, Wayne, PA 19087 | 2015-10-20 |
| 1306242524 | Jamie Joyce | Speech-Language Pathologist | 489 Devon Park Dr, #301, Wayne, PA 19087-1809 | 2014-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037455 | Melissa Chipollini | Counselor | 487 Devon Park, Wayne, PA 19087 | 2020-06-11 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1538654363 | Brightview Wayne, LLC | Alzheimer Center (Dementia Center) | 301 E. Conestoga Road, Wayne, PA 19087 | 2018-06-25 |
| 1396234076 | Life Clinic of Pa PC | Physical Therapist | 700 E. Swedesford Rd., Wayne, PA 19087 | 2018-05-08 |
| 1841717246 | Laurie Anne Griffith | Counselor | 300 King of Prussia Rd, 2nd Floor, Radnor, PA 19087 | 2017-08-25 |
| 1457871279 | Tracy Kornafel | Physical Therapist | 288 Iven Ave, Apt 1a, Wayne, PA 19087 | 2017-06-22 |
| 1366980153 | Jodi Miller | Physical Therapist | 999 Old Eagle School Rd., Suite 106, Wayne, PA 19087 | 2017-02-01 |
| 1891244844 | Elite Pt LLC | Physical Therapist | 555 E Lancaster Ave Ste 30, Saint Davids, PA 19087 | 2016-09-30 |
| 1386190015 | Patrick Hanratty | Counselor | 468 Upper Weadley Rd, Wayne, PA 19087 | 2016-09-01 |
| 1316494958 | Main Line Day, LLC | Psychologist | 487 Devon Park Drive, Suite 207, Wayne, PA 19087 | 2016-09-01 |
| Find all providers in zip 19087 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518236561 | Daniel Arthur Lace | General Practice | 5n445 Billy Burns Rd, Box 449, Wayne, IL 60184-2116 | 2011-12-20 |
| 1285875203 | David C Kaslow | General Practice | 15 Kinterra Rd, Wayne, PA 19087-4717 | 2009-03-21 |
| 1205083599 | A Ganchi Md LLC | General Practice | 342 Hamburg Tpke, Ste 202, Wayne, NJ 07470-2162 | 2008-08-19 |
| 1356536460 | Mikhayl Samy Soliman | General Practice | 3152 S Wayne Rd, Wayne, MI 48184-1221 | 2007-09-11 |
| 1952503559 | Soliman Medical Center Pllc | General Practice | 3152 S Wayne Rd, Wayne, MI 48184-1221 | 2007-06-05 |
| 1316042138 | Michael Torosian | General Practice | 240 Conestoga Rd, Wayne, PA 19087-4748 | 2006-09-14 |
| 1851304562 | Hormoz Mohtashemi | General Practice | 516 Hamburg Tpke, Suite 11, Wayne, NJ 07470-2062 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609494798 | Heather L Levan | General Practice | 919 Gravel Pike, Palm, PA 18070-1204 | 2020-07-06 |
| 1124642996 | Wound Pros Medical Group | General Practice | 1500 Market Street 12th Floor, East Tower, Philadelphia, PA 19102-2152 | 2020-06-08 |
| 1861024390 | Daniel James Leonard IIi | General Practice | 397 Fifth Street, Nanty Glo, PA 15943 | 2020-02-12 |
| 1831755735 | Good Hope Health Center Corp | General Practice | 7712 Buist Ave, Philadelphia, PA 19153-1705 | 2019-05-15 |
| 1366008260 | Ltc Treatment Center Inc | General Practice | 7712 Buist Ave Apt B, Philadelphia, PA 19153-1705 | 2019-05-15 |
| 1003479825 | Marsha Frances Santangelo | General Practice | 107 Sawgrass Drive, Blue Bell, PA 19422 | 2019-04-17 |
| 1972072288 | Paula Alejandra Pino Pommer | General Practice | 3551 North Broad St., Philadelphia, PA 19140-4160 | 2018-11-15 |
| 1033686159 | Star Wellness Center, Inc | General Practice | 511 E 3rd St Ste 202, Bethlehem, PA 18015-2180 | 2018-10-26 |
| 1891277620 | Donald C. Cameron | General Practice | 718 Kennett Pike, Chadds Ford, PA 19317 | 2018-08-29 |
| 1124510888 | Healing Place Medical, P.C. | General Practice | 1600 Horizon Dr Ste 122123, Chalfont, PA 18914-4100 | 2018-05-30 |
| Find all providers with the same taxonomy | ||||
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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.