Renovo Medical Llc, NPI 1083864219
General Practice Physician in Garden City, KS, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1083864219 |
| NPI Entity Type | Organization |
| Provider Name |
Renovo Medical Llc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 816 N Campus Dr, Suite 500, Garden City, KS, US |
| Provider Mailing Address | 816 N Campus Dr, Suite 500, Garden City, KS, US, 678466329 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | PROF. SCD PA-C Joel T Erskin |
| Official Position | CEO/PHYSICIAN ASSISTANT |
| Phone | 620-805-5162 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | General Practice Physician |
| Classification | |
| Group | |
| License No. | KS0434389 |
| License State | KS |
| Description | Definition to come... |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 0416265 | KS | No | |||
| 1500265 | KS | No | |||
| 45404 | KS | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 200063310F | KS | MEDICAID | 05 |
| 1669659967 | KS | NPI KRISTI L. SCHMITT | 01 |
| 659930 | FIRST GUARD | 01 | |
| 055515 | BCBS | 01 | |
| 1730135500 | KS | NPI | 01 |
| 1487634069 | KS | NPI JOEL T. ERSKIN PA-C | 01 |
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