RENUE SURGERY CENTER LLC (NPI# 1376797332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376797332 |
| Entity Type | Organization |
| Organization Name | RENUE SURGERY CENTER LLC |
| Practice Address |
2500 Starling St Suite 604 Brunswick GA 31520-4265 |
| Practice Telephone | 9122809977 |
| Practice Fax Number | 9122809995 |
| Mailing Telephone | 9122809977 |
| Mailing Fax Number | 9122809995 |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | DR. CHARLES WILLIAM MITCHELL (MANAGER) |
| Authorized Official Telephone | 9122809977 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
063-383 | GA | Ambulatory Health Care Facilities |
| Street Address |
2500 STARLING ST SUITE 604 |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-4265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851387310 | Coleman David Sudduth Jr. | Internal Medicine | 2500 Starling St, Suite 504, Brunswick, GA 31520-4265 | 2005-09-21 |
| 1811401854 | Sarah Renee Mobbs | Registered Nurse | 2500 Starling St, Brunswick, GA 31520 | 2017-11-29 |
| 1366987844 | Kristin Stenzel Orendorf | Nurse Practitioner | 2500 Starling St, Suite 501, Brunswick, GA 31520-4265 | 2016-12-20 |
| 1124576616 | Julie Small | Nurse Practitioner | 2500 Starling St, Suite 107, Brunswick, GA 31520-4265 | 2016-09-14 |
| 1083083547 | Laura Winkelman | Nurse Practitioner | 2500 Starling St, Suite 601, Brunswick, GA 31520-4265 | 2015-09-15 |
| 1215305305 | Ahmed Elsharkawi, Md LLC | Internal Medicine | 2500 Starling St, Suite 601, Brunswick, GA 31520-4265 | 2015-09-08 |
| 1619344223 | Elizabeth Blair Coleman | Physician Assistant | 2500 Starling St, Ste 403, Brunswick, GA 31520-4265 | 2015-08-31 |
| 1982967709 | Genesis Dme, Inc. | Durable Medical Equipment & Medical Supplies | 2500 Starling St, Suite 105 Seghs, Brunswick, GA 31520-4265 | 2012-06-18 |
| 1801166749 | Marion E Alston | Nurse Practitioner | 2500 Starling St, Suite 503, Brunswick, GA 31520-4265 | 2012-01-10 |
| 1376853507 | John F. Ellenberg, M.d., P.C. | Obstetrics & Gynecology | 2500 Starling St, 406, Brunswick, GA 31520-4265 | 2010-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780694455 | J Melvin Deese Jr, Md PC | Clinic/Center | 1111 Glynco Pkwy Ste 100, Brunswick, GA 31525-7922 | 2006-08-08 |
| 1336163096 | Cooperative Healthcare Services, Inc. | Clinic/Center | 2916 Glynn Ave, Brunswick, GA 31520-4844 | 2006-07-27 |
| 1225023021 | Arc of Georgia, LLC | Clinic/Center | 3243 Glynn Ave, Brunswick, GA 31520-4851 | 2005-09-18 |
| 1134589054 | Apex Surgery Center, LLC | Clinic/Center | 3243 Glynn Ave, Brunswick, GA 31520-4851 | 2016-03-04 |
| 1740336577 | Coastal Pain Center, LLC | Clinic/Center | 3221 Glynn Ave, Brunswick, GA 31520-4851 | 2007-01-26 |
| 1154422541 | Brunswick Pain Treatment Center, LLC | Clinic/Center | 1111 Glynco Pkwy, 3rd Floor, Brunswick, GA 31525 | 2006-09-26 |
| 1760491385 | Endoscopy Center of Northern Ohio, LLC | Clinic/Center | 1299 Industrial Parkway North, Suite 120, Brunswick, OH 44212-4316 | 2006-08-05 |
| 1043225865 | Golden Isles Foot Surgery Center | Clinic/Center | 10 Professional Dr, Brunswick, GA 31520-3774 | 2006-07-30 |
| 1225064363 | The Spine Treatment Center,llc | Clinic/Center | 1111 Glynco Pkwy, 3rd Floor, Brunswick, GA 31525-7921 | 2006-06-23 |
| 1922054410 | Brunswick Endoscopy Center, LLC | Clinic/Center | 3217 4th St, Brunswick, GA 31520-3759 | 2006-05-26 |
| Find all providers in BRUNSWICK | ||||
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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.