DAY SURGERY AT RENAISSANCE, LLC (NPI# 1104338052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104338052 |
| Entity Type | Organization |
| Organization Name | DAY SURGERY AT RENAISSANCE, LLC |
| Other Organization Name | RENAISSANCE TRANSPLANT INSTITUTE |
| Practice Address |
5513 Doctors Dr Edinburg TX 78539-5563 |
| Mailing Address |
Po Box 3293 Mcallen TX 78502-3293 |
| Practice Telephone | 9563625433 |
| Practice Fax Number | 9563623372 |
| Mailing Telephone | 9563628677 |
| Mailing Fax Number | 9563623372 |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |
| Authorized Official Name | SUSAN TURLEY (PRESIDENT) |
| Authorized Official Telephone | 9563627469 |
| Is Organization Subpart | Y |
| Parent Organization Name | DAY SURGERY AT RENAISSANCE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 160709501 | 05 | |
| TX | BLUE CROSS | HH1032 | 01 |
| Other Name | Type Code |
|---|---|
| Renaissance Transplant Institute | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568657583 | Day Surgery At Renaissance, LLC | Psychiatric Unit | 5510 Raphael Dr, Edinburg, TX 78539-1407 | 2007-09-12 |
| 1225132863 | Day Surgery At Renaissance, LLC | Rehabilitation Hospital | 5403 Doctors Dr, Edinburg, TX 78539-1410 | 2006-09-12 |
| 1306186887 | Day Surgery At Renaissance, LLC | Clinical Medical Laboratory | 5501 S Mccoll Rd, Edinburg, TX 78539-9152 | 2013-02-21 |
| 1053317362 | Day Surgery At Renaissance, LLC | General Acute Care Hospital | 5501 S Mccoll Rd, Edinburg, TX 78539-9152 | 2005-06-22 |
| Street Address |
5513 DOCTORS DR |
| City | EDINBURG |
| State | TX |
| Zip Code | 78539-5563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871532531 | Norman M Ramirez | Internal Medicine | 5513 Doctors Dr, Edinburg, TX 78539-5563 | 2006-06-06 |
| 1356816011 | Jessica Annett Cantu | Nurse Practitioner | 5513 Doctors Dr, Edinburg, TX 78539-5563 | 2018-10-09 |
| 1386804938 | Darlene Bradford Martinez | Clinical Nurse Specialist | 5513 Doctors Dr, Edinburg, TX 78539-5563 | 2008-06-16 |
| 1457577199 | Velma Pena-cook | Speech-Language Pathologist | 5513 Doctors Dr, Edinburg, TX 78539-5563 | 2007-04-18 |
| 1205954013 | Veronica Deleon | Dietitian, Registered | 5513 Doctors Dr, Edinburg, TX 78539-5563 | 2007-03-27 |
| 1235269432 | Robert B. Fraser | Chiropractor | 5513 Doctors Dr, Edinburg, TX 78539-5563 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721782 | Ghizlane Elanbari | Internal Medicine | 502 S. Closner Blvd, Edinburg, TX 78539 | 2020-08-22 |
| 1235751728 | Natalia Cristina Pinto | Student in an Organized Health Care Education/Training Program | 5423 S. Mc Coll Rd, University of Texas Rw Grande Valley - Doctor's Hospita, Edinburg, TX 78539 | 2020-05-07 |
| 1235750092 | Juan Pablo Trejo Pacheco Torres | Student in an Organized Health Care Education/Training Program | 5423 S. Mccoll Rd, Edinburg, TX 78539 | 2020-05-04 |
| 1336775527 | Lifeline Pharmacy 1 LLC | Pharmacy | 2500 W Trenton Road, Suite 12, Edinburg, TX 78539 | 2020-03-19 |
| 1881234045 | Tina Michelle Wisdom | Nurse Practitioner | 5501 Rafael Drive, Edinburg, TX 78539 | 2020-01-15 |
| 1649838178 | Charles Medical Management Services, LLC | Clinical Medical Laboratory | 723 E. University, Edinburg, TX 78539 | 2019-05-30 |
| 1437716289 | Sawyer Lambert | Optometrist | 3804 So. Jackson Road, Suite #4, Edinburg, TX 78539 | 2019-05-28 |
| 1114480837 | Doctors Dermatology and Associates | Dermatology | 2605 W Trenton Rd, Edinburg, TX 78539 | 2019-04-09 |
| 1053872200 | Leonel Vela | Preventive Medicine | Utrgv School of Medicine, 1201 W. University Dr., Edinburg, TX 78539 | 2019-03-29 |
| 1477025997 | Lee Family Dentistry P.a. | Dentist | 3802 South Business 281, Edinburg, TX 78539 | 2018-12-21 |
| Find all providers in zip 78539 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1518273986 | Ashraf Ibrahim Reyad | Transplant Surgery | 909 9th Ave Ste 201, Fort Worth, TX 76104-3916 | 2010-08-24 |
| 1326372418 | Karoly Varga | Transplant Surgery | 5615 Twin Rivers Ct, Sugar Land, TX 77479-7133 | 2009-09-23 |
| 1922252717 | Methodist Physician Practices, Pllc | Transplant Surgery | 15727 Anthem Pkwy Ste 600, San Antonio, TX 78249-4158 | 2008-11-06 |
| 1043462609 | Aldo Elmer Rafael Yarihuaman | Transplant Surgery | 621 N Hall St Ste 120, Dallas, TX 75226-1307 | 2008-10-15 |
| 1235393208 | Tiffany L Anthony | Transplant Surgery | 7777 Forest Ln Ste B446, Dallas, TX 75230 | 2008-07-17 |
| 1023208949 | Govardhana Rao Yannam | Transplant Surgery | 2060 Space Park Dr Ste 100, Houston, TX 77058-3674 | 2007-07-26 |
| 1124240890 | Mourad Mousa Alsabbagh | Transplant Surgery | 1100 E Dove Ave Ste 200, Mcallen, TX 78504-4681 | 2007-05-03 |
| 1699805911 | Steven I. Hanish | Transplant Surgery | 5939 Harry Hines Blvd Ste 700, Dallas, TX 75235-6243 | 2007-03-06 |
| 1295889202 | Sameh Fayek | Transplant Surgery | 909 9th Ave Ste 402, Fort Worth, TX 76104-3932 | 2007-01-23 |
| 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.