FSLJC, LLC. (NPI# 1346266087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346266087 |
| Entity Type | Organization |
| Organization Name | FSLJC, LLC. |
| Other Organization Name | THE RENAISSANCE CENTER FOR PLASTIC SURGERY |
| Practice Address |
1845 Memorial Hwy Shavertown PA 18708-1482 |
| Practice Telephone | 5706746525 |
| Practice Fax Number | 5706746520 |
| Mailing Telephone | 5706746525 |
| Mailing Fax Number | 5706746520 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2017-05-09 |
| Authorized Official Name | MS. SUSAN J COLLINI (ADMINISTRATOR) |
| Authorized Official Telephone | 5706746525 |
| Authorized Official Credential | RT (R) RDMS RDCS |
| 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 |
| Other Name | Type Code |
|---|---|
| THE RENAISSANCE CENTER FOR PLASTIC SURGERY | Doing Business As Name - Organization |
| Street Address |
1845 MEMORIAL HWY |
| City | SHAVERTOWN |
| State | PA |
| Zip Code | 18708-1482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023081684 | Francis Joseph Collini | Specialist | 1845 Memorial Hwy, Shavertown, PA 18708-1482 | 2006-02-13 |
| 1982846903 | Francis J. Collini, Md, Facs, P.C. | Plastic Surgery | 1845 Memorial Hwy, Shavertown, PA 18708-1482 | 2009-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871076901 | Samantha Jo Lupinski-campbell | Massage Therapist | 52 S Memorial Highway, Shavertown, PA 18708 | 2018-09-14 |
| 1578939336 | Courtney Burgess-michak | Counselor | 1846 Memorial Highway, Suite 3, Shavertown, PA 18708 | 2015-08-17 |
| 1043620727 | Amy Cook | Recreation Therapist | 1207 Huntsville Road, Shavertown, PA 18708 | 2014-05-02 |
| 1437416849 | Richard G Coslett | Dentist | 121 S. Memorial Hwy, Shavertown, PA 18708 | 2012-04-23 |
| 1902197635 | Vera Lynn Supey | Pharmacist | 2810 Memorial Hwy, Shavertown, PA 18708 | 2011-04-28 |
| 1912200288 | Aphrodite J Togias | Family Medicine | 140 Blueberry Road, Shavertown, PA 18708 | 2010-12-08 |
| 1811075104 | Charles T Brand Dmd Richard G Coslett Dmd PC | Dentist | 121 S Memorial Hwy, Shavertown, PA 18708 | 2006-11-02 |
| 1366822504 | Devin Carey | Family Medicine | 176 N Main St, Shavertown, PA 18708 | 2015-06-03 |
| 1356608764 | Charles T Brand | Dentist | 121 S. Memorial Hwy, Shavertown, PA 18708 | 2012-04-23 |
| 1003857186 | Patrick Kilduff | Internal Medicine | 176 N Main St, Shavertown, PA 18708-1121 | 2006-06-09 |
| Find all providers in zip 18708 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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|---|---|---|---|---|
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| 1518575778 | Eye Surgery of The Main Line, LLC | Clinic/Center | 333 E City Avenue, Two Bala Plaza, Bala Cynwyd, PA 19004-1501 | 2020-07-14 |
| 1053934919 | Doylestown Surgery Center, LLC | Clinic/Center | 593 West State Street, Doylestown, PA 18901 | 2020-05-26 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1508400920 | Nazareth Endoscopy Center, LLC | Clinic/Center | 2401 Northampton St Ste 220, Easton, PA 18045-2764 | 2019-10-29 |
| 1235788878 | Integrated Surgical Institute, LLC | Clinic/Center | West Ridge Business Campus, 1001 James Drive, Leesport, PA 19533 | 2019-09-06 |
| 1841759040 | Beaver Valley Ambulatory Surgery Center, LLC | Clinic/Center | 79 Wagner Road, Suite 101, Monaca, PA 15061-2489 | 2019-03-18 |
| 1669931861 | Urology Health Surgery Center, LLC | Clinic/Center | 1974 Sproul Rd Ste 104, Broomall, PA 19008-3402 | 2019-03-18 |
| Find all providers with the same taxonomy | ||||
| City | SHAVERTOWN |
| Zip Code | 18708 |
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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.