RENAISSANCE PLASTIC SURGERY PLLC (NPI# 1366603359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366603359 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE PLASTIC SURGERY PLLC |
| Practice Address |
5880 Ashmill Dr Ste 200 Plano TX 75024-0031 |
| Practice Telephone | 9723783870 |
| Practice Fax Number | 9723787977 |
| Mailing Telephone | 9723783870 |
| Mailing Fax Number | 9723787977 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2019-10-24 |
| Authorized Official Name | DR. JEFF OLIVER ANGOBALDO (MEDICAL DOCTOR/OWNER) |
| Authorized Official Telephone | 9723783870 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | M8498 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154342350 | Renaissance Plastic Surgery Pllc | Surgery | 2601 Kentucky Ave, Ste 401, Paducah, KY 42003-3827 | 2006-07-22 |
| Street Address |
5880 ASHMILL DR STE 200 |
| City | PLANO |
| State | TX |
| Zip Code | 75024-0031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245870393 | Surgical Pa LLC | Physician Assistant | 5880 Ashmill Dr Ste 200, Plano, TX 75024-0031 | 2020-01-07 |
| 1710398912 | Ashton E Wise | Physician Assistant | 5880 Ashmill Dr Ste 200, Plano, TX 75024-0031 | 2014-05-11 |
| 1538504097 | Surgassist Pro LLC | Anesthesiology | 5880 Ashmill Dr Ste 200, Plano, TX 75024-0031 | 2013-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294605 | Seungeun Szczechowski | Specialist/Technologist, Other | 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 | 2020-04-20 |
| 1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
| 1902364581 | Bayada Home Health Care, Inc. | Home Health | 5851 Legacy Circle, Fl 6, Suite 6052, Plano, TX 75024 | 2019-03-04 |
| 1881168052 | Waking Up To Peace Solutions LLC | Counselor | 8105 Rasor Blvd, Ste 303, Plano, TX 75024 | 2019-01-21 |
| 1407325905 | Fresenius Medical Care Willow Bend, LLC | Clinic/Center | 6823 Communications Pkwy Bldg A, Plano, TX 75024 | 2018-11-14 |
| 1265933378 | Cody Jones | Physical Therapist | 7211 Preston Road, Plano, TX 75024 | 2018-02-23 |
| 1720587538 | Sol Medical Massage Inc | Massage Therapist | 4666 Mcdermott Rd Suite 100, Plano, TX 75024 | 2018-02-07 |
| 1447768726 | Thelma Franco | Counselor | 5151 Headquarters Dr Ste 155, Plano, TX 75024 | 2018-01-20 |
| Find all providers in zip 75024 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639260128 | Robert Stanley Antonetti | Plastic Surgery | 6020 W. Plano Pkwy, Plano, TX 75093-4640 | 2006-09-27 |
| 1417506296 | Jaime Haidenberg | Plastic Surgery | 4100 W 15th St, Plano, TX 75093-5803 | 2019-09-05 |
| 1336584911 | Specialized Plastic Surgery Services Pa | Plastic Surgery | 5425 W Spring Creek Pkwy, Plano, TX 75024-4236 | 2013-05-08 |
| 1689808941 | Clinique Dallas Plastic Surgery | Plastic Surgery | 6020 W Plano Pkwy, Plano, TX 75093-4640 | 2009-05-14 |
| 1053545467 | Cocco Clinique Md, Pa | Plastic Surgery | 6020 W Plano Pkwy, Plano, TX 75093-4640 | 2009-05-13 |
| 1801058581 | John Hershman | Plastic Surgery | 3901 W 15th St, Plano, TX 75075-7738 | 2008-06-25 |
| 1194993543 | Plastic Surgery Associates of Dallas | Plastic Surgery | 6300 W Parker Rd, Suite 427, Plano, TX 75093-8160 | 2008-02-19 |
| 1982881611 | C.russell Sparenberg,md,pa | Plastic Surgery | 3900 W 15th St, #106, Plano, TX 75075-7751 | 2008-01-24 |
| 1134304579 | Jeff Oliver Angobaldo | Plastic Surgery | 6105 Windcom Ct, Suite 150, Plano, TX 75093-7889 | 2008-01-03 |
| 1841494408 | Jennyfer Faridy Cocco | Plastic Surgery | 6020 W Plano Pkwy, Plano, TX 75093-4640 | 2007-06-14 |
| Find all providers in PLANO | ||||
Please comment or provide details below to improve the information on RENAISSANCE PLASTIC SURGERY PLLC.
| 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.