RENAISSANCE PLASTIC SURGERY PC (NPI# 1407914567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407914567 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE PLASTIC SURGERY PC |
| Practice Address |
10293 N Meridian St Suite 200 Indpls IN 46290 |
| Practice Telephone | 3175759152 |
| Practice Fax Number | 3175759281 |
| Mailing Telephone | 3175759152 |
| Mailing Fax Number | 3175759281 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2013-06-27 |
| Authorized Official Name | DR. JOSEPH J FATA (OWNER) |
| Authorized Official Telephone | 3175759152 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100120400A | 05 |
| Street Address |
10293 N MERIDIAN ST SUITE 200 |
| City | INDPLS |
| State | IN |
| Zip Code | 46290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821548777 | American Behavioral Counseling | Social Worker | 10386 Spring Highland Dr, Indianapolis, IN 46290 | 2016-10-04 |
| 1518042431 | James Lamar Jones | Psychologist | 8555 Cedar Place, Suite 113a, Indianapolis, IN 46290 | 2006-10-26 |
| 1437245917 | Bradley Scott Gunter | Physical Therapy Assistant | 10601 N. Meridian St., Suite 110, Indianapolis, IN 46290 | 2006-10-04 |
| 1790261576 | Kristiana Michelle Sannella | Physician Assistant | 10590 N Meridian St # 105, Indianapolis, IN 46290 | 2018-07-16 |
| 1023534815 | Mitchell James Vansumeren | Psychologist | 10291 N Meridian St Ste 310, Indianapolis, IN 46290 | 2017-08-14 |
| 1801281670 | Elizabeth Tibbs | Physician Assistant | 10590 N Meridian St Ste 105, Indianapolis, IN 46290 | 2015-03-30 |
| 1447510722 | Bradley A Clark | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2012-05-21 |
| 1528333861 | Edward Mark Shmukler | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2012-03-20 |
| 1386938272 | Bryce S Lynn | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2011-06-08 |
| 1063610301 | Babar Sultan | Otolaryngology | 170 W 106th St, Meridian Plastic Surgery, Indianapolis, IN 46290 | 2007-07-09 |
| Find all providers in zip 46290 | ||||
| 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 |
|---|---|---|---|---|
| 1215476981 | Nabil Elsahy | Plastic Surgery | 11680 Bluefin Ct, Indianapolis, IN 46236-8500 | 2017-02-14 |
| 1942543681 | Navid Pourtaheri | Plastic Surgery | 705 Riley Hospital Dr Ste 3538, Indianapolis, IN 46202-5109 | 2013-04-01 |
| 1174850598 | Alexis Armour | Plastic Surgery | 368 Bielby Rd Ste 120, Lawrenceburg, IN 47025-1067 | 2009-11-05 |
| 1558597807 | Sewit Amde | Plastic Surgery | 300 E Boyd Avenue, Suite 100, Greenfield, IN 46140-2816 | 2009-06-01 |
| 1841432374 | David S. Slatton Md, PC | Plastic Surgery | 9302 N. Meridian Street, Suite 220, Indianapolis, IN 46260 | 2009-03-30 |
| 1790942175 | Ovidiu Gratian Cristea | Plastic Surgery | 2158 Intelliplex Dr Ste 100, Shelbyville, IN 46176-8548 | 2008-05-22 |
| 1497926893 | Advanced Plastic Surgery of Terre Haute, LLC | Plastic Surgery | 100 E Halt Dr, Terre Haute, IN 47802-4210 | 2008-03-13 |
| 1992916290 | Ryan Patrick Flannagan | Plastic Surgery | 2005 Saint Charles St Ste 4, Jasper, IN 47546-9146 | 2007-05-25 |
| 1457573917 | Jessica Nguyen Gillespie | Plastic Surgery | 8051 South Emerson Avenue, Suite 450, Indianapolis, IN 46237 | 2007-05-03 |
| 1831220938 | William C Sando | Plastic Surgery | 9700 E 146th St Ste 150, Noblesville, IN 46060-4333 | 2007-03-08 |
| 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.