Renaissance Health And Surgical Associates, P.c., NPI 1801941539
Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician in South Pittsburg, TN, 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 | 1801941539 |
| NPI Entity Type | Organization |
| Provider Name |
Renaissance Health And Surgical Associates, P.c.
Other Name |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 325 S Cedar Ave, Suite 2, South Pittsburg, TN, US |
| Provider Mailing Address | 325 S Cedar Ave, Suite 2, South Pittsburg, TN, US, 373801305 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Bonnie Lynn Brewer |
| Official Position | PRACTICE MANAGER |
| Phone | 423-837-5801 |
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 | Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician |
| Classification | |
| Group | |
| License No. | 30628 |
| License State | TN |
| Description | A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 30628 | TN | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 891-08307 | AL | BCBS AL PROV # | 01 |
| 3149771 | TN | BCBS TN | 01 |
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