RENEW COSMETIC AND RECONSTRUCTIVE SURGERY, PC (NPI# 1578732848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578732848 |
| Entity Type | Organization |
| Organization Name | RENEW COSMETIC AND RECONSTRUCTIVE SURGERY, PC |
| Practice Address |
116 E 11th St Suite 203 Spencer IA 51301-4364 |
| Mailing Address |
1200 1st Ave E Spencer IA 51301-4330 |
| Practice Telephone | 8772648394 |
| Practice Fax Number | 7122648391 |
| Mailing Telephone | 7122646198 |
| Mailing Fax Number | 7122646462 |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2009-02-18 |
| Authorized Official Name | LOIS J MORRIS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7122646437 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | Y |
| Parent Organization Name | SPENCER MUNICIPAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
116 E 11TH ST SUITE 203 |
| City | SPENCER |
| State | IA |
| Zip Code | 51301-4364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760605 | John Benjamin Synhorst II | Dentist | 116 E 11th St, Ste 201, Spencer, IA 51301-4363 | 2005-06-15 |
| 1467821116 | Briana Wetrich | Physician Assistant | 116 E 11th St, Suite 101, Spencer, IA 51301-4300 | 2015-09-23 |
| 1780062273 | Spencer Municipal Hospital | Family Medicine | 116 E 11th St, Suite 101, Spencer, IA 51301-4365 | 2015-05-15 |
| 1720401961 | Megan Vanotterloo | Nurse Practitioner | 116 E 11th St, Suite 101, Spencer, IA 51301-4300 | 2014-01-23 |
| 1225468812 | Karen Potaczek, D.d.s., P.C. | Oral & Maxillofacial Surgery | 116 E 11th St, Suite 201, Spencer, IA 51301-4393 | 2013-11-18 |
| 1386938926 | Hilary L Kerrick | Family Medicine | 116 E 11th St, Suite 101, Spencer, IA 51301-4300 | 2011-05-31 |
| 1144534702 | Avera Home Medical Equipment of Spencer Hospital LLC | Durable Medical Equipment & Medical Supplies | 116 E 11th St, Suite 104, Spencer, IA 51301-4300 | 2010-08-05 |
| 1669793808 | David Stephen Keith | Family Medicine | 116 E 11th St, Suite 101, Spencer, IA 51301-4300 | 2010-06-22 |
| 1124344833 | Travis J. Witt | Family Medicine | 116 E 11th St, Suite 101, Spencer, IA 51301-4300 | 2010-04-20 |
| 1003046939 | Kathi Kae Heckert | Nurse Practitioner | 116 E 11th St, Ste 101, Spencer, IA 51301-4300 | 2009-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508331877 | Angie Marie Wigen | Occupational Therapy Assistant | 1202 11 Th Ave Se, Spencer, IA 51301 | 2018-10-12 |
| 1184040511 | Leisha Fischer | Nurse Practitioner | 116 East 7th Street, Suite 2, Spencer, IA 51301 | 2014-03-10 |
| 1427482199 | Mark Alan De Ruyter | Social Worker | 116 E. 11th St., Spencer, IA 51301 | 2013-08-29 |
| 1467894873 | Daniel Wesley Abbott | Pathology | 116 E 11th St Ste 204, Spencer, IA 51301 | 2013-07-26 |
| 1730437542 | Spencer Convenient Healthcare LLC | Clinic/Center | 116 E. 7th Street, Suite 2, Spencer, IA 51301 | 2012-08-28 |
| 1114065109 | David W Lawrence | Audiologist-Hearing Aid Fitter | 920 North Grand Ave., Spencer, IA 51301 | 2007-02-02 |
| 1548328925 | Burns Chiropractic Center P C | Chiropractor | 1210 West 18th St, Spencer, IA 51301 | 2006-12-05 |
| 1073692661 | Gary Vanhofwegen | Dentist | 18 West 4th St, Spencer, IA 51301 | 2006-11-03 |
| 1952494114 | Medicap Pharmacy | Pharmacy | 829 Grand Ave N, Spencer, IA 51301 | 2006-10-02 |
| 1326131012 | Douglas J Schwartz | Chiropractor | 1204 West 18th St, Spencer, IA 51301 | 2006-10-02 |
| Find all providers in zip 51301 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063926970 | Dr Andrews Plastic Surgery | Surgery | 1100 5th St Ste 205, Coralville, IA 52241-2931 | 2017-11-30 |
| 1831425347 | Plastic Surgery Aesthetics PC | Surgery | 200 Mercy Dr Ste 101, Dubuque, IA 52001-7392 | 2009-10-19 |
| 1376736686 | Shady Nehmatallah Hayek | Surgery | 1512 1st Ave, # 204a, Coralville, IA 52241-1143 | 2007-08-20 |
| 1841345279 | Albert Cram | Surgery | 501 12th Ave Ste 102, Coralville, IA 52241-1774 | 2007-01-24 |
| 1710988217 | Charles Everett Grado | Surgery | 3705 River Ridge Dr Ne, Cedar Rapids, IA 52402-7596 | 2005-08-09 |
| 1285908509 | Anas Eid | Surgery | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2012-03-05 |
| 1245274745 | Leslie W Smith | Surgery | 1501 4th St Sw, Mason City, IA 50401-2737 | 2006-06-15 |
| 1619921251 | Des Moines Plastic Surgery, PC | Surgery | 5901 Westown Pkwy, Suite 250, West Des Moines, IA 50266-8218 | 2006-05-19 |
| 1215991666 | Robert E Powers | Surgery | 2800 Pierce St, Suite, 406, Sioux City, IA 51104-3755 | 2006-04-13 |
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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.