RENAISSANCE SURGERY CENTER, LLC (NPI# 1780157990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780157990 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE SURGERY CENTER, LLC |
| Practice Address |
320 Bristol West Blvd Ste 1a Bristol TN 37620-8773 |
| Mailing Address |
Po Box 9 Attn Credentialing Kingsport TN 37662 |
| Practice Telephone | 4238441399 |
| Mailing Telephone | 4238572066 |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | RANDALL SERMONS (OWNER) |
| Authorized Official Telephone | 4238572028 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174884530 | Renaissance Surgery Center, LLC | Clinic/Center | 461 Goffle Rd, Wyckoff, NJ 07481-3003 | 2012-06-01 |
| 1013068642 | Renaissance Surgery Center, LLC | Clinic/Center | 2365 E Fir Ave, Fresno, CA 93720-8016 | 2007-01-12 |
| Street Address |
320 BRISTOL WEST BLVD STE 1A |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620-8773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790344182 | Bristol Ambulatory Surgery Center, LLC | Clinic/Center | 350 Blountville Hwy Ste 108, Bristol, TN 37620-1676 | 2019-06-10 |
| 1245340603 | Mountain Empire Cataract & Eye Surgery Center | Clinic/Center | 3185 W State St, Suite 2020, Bristol, TN 37620-1610 | 2006-08-30 |
| 1972528800 | Bristol Spine Center, LLC | Clinic/Center | 320 Bristol West Blvd, Suite 1a, Bristol, TN 37620-8765 | 2006-07-13 |
| 1255593356 | Bristol Surgery Center | Clinic/Center | 350 Blountville Hwy, Suite 108, Bristol, TN 37620-0213 | 2008-06-30 |
| 1215978945 | Sapling Grove Ambulatory Surgery Center, LLC | Clinic/Center | 240 Medical Park Blvd, Ste 2400, Bristol, TN 37620-7346 | 2006-06-10 |
| 1013964063 | Bristol Surgery Center, LLC | Clinic/Center | 350 Blountville Hwy, Suite 108, Bristol, TN 37620-0213 | 2006-05-27 |
| 1376538876 | The Endoscopy Center of Bristol | Clinic/Center | 235 Medical Park Blvd, Bristol, TN 37620-7455 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939559 | Endoscopy Center of St Thomas Lp | Clinic/Center | 4230 Harding Pike Ste 309b, Nashville, TN 37205-2013 | 2020-10-09 |
| 1528622321 | Premier-covenant Astc LLC | Clinic/Center | 6408 Papermill Dr Ste 220, Knoxville, TN 37919-4858 | 2019-04-26 |
| 1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
| 1326508045 | Eye Surgery Center of Lenoir City, LLC | Clinic/Center | 5491 Creekwood Park Blvd Ste B, Lenoir City, TN 37772-1204 | 2019-03-20 |
| 1629536826 | Meadowview Asc, LLC | Clinic/Center | 2033 Meadowview Ln Ste 210, Kingsport, TN 37660-7569 | 2019-03-06 |
| 1619487782 | Uch Vascular Access Asc LLC | Clinic/Center | 6490 Mt Moriah Rd Ext Ste 202, Memphis, TN 38115-3841 | 2017-10-03 |
| 1841712452 | Saint Thomas Surgery Center New Salem, LLC | Clinic/Center | 2755 New Salem Highway, Murfreesboro, TN 37128-3712 | 2017-07-14 |
| 1255860383 | Eye Surgery Center of Knoxville, LLC | Clinic/Center | 7739 Dannaher Drive, Powell, TN 37849 | 2017-06-12 |
| 1871960153 | Turner Surgery Center, LLC | Clinic/Center | 28 White Bridge Rd Ste 210, Nashville, TN 37205-1467 | 2015-08-21 |
| 1487071486 | Guardian Ambulatory Surgery Center | Clinic/Center | 1340 Papermill Pointe Way, Knoxville, TN 37909-1903 | 2014-03-27 |
| 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.