RENAISSANCE FAMILY PRACTICE, INC. (NPI# 1760524912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760524912 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE FAMILY PRACTICE, INC. |
| Other Organization Name | RENAISSANCE FAMILY PRACTICE - GLENSHAW |
| Practice Address |
619 Mount Royal Blvd Pittsburgh PA 15223-1225 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 4124874422 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2012-10-17 |
| Authorized Official Name | KENNY HEINE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | MD417572 | PA | Suppliers |
| Other Name | Type Code |
|---|---|
| Renaissance Family Practice - Glenshaw | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841333648 | Renaissance Family Practice, Inc. | Non-Pharmacy Dispensing Site | 2566 Haymaker Rd Ste 306, 1, Monroeville, PA 15146-3555 | 2007-02-14 |
| Street Address |
619 MOUNT ROYAL BLVD |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15223-1225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639118219 | Ted C Schaffer | Family Medicine | 619 Mount Royal Blvd, Pittsburgh, PA 15223-1225 | 2006-06-06 |
| 1275844888 | Jonathan Randolph Powell | Family Medicine | 619 Mount Royal Blvd, Pittsburgh, PA 15223-1225 | 2010-06-29 |
| 1790096907 | Matthew Schaffer | Family Medicine | 619 Mount Royal Blvd, Pittsburgh, PA 15223-1225 | 2010-06-23 |
| 1144232406 | Aaron G Smuckler | Internal Medicine | 619 Mount Royal Blvd, Pittsburgh, PA 15223-1225 | 2006-08-13 |
| 1679508543 | Renaisance Family Practice, Inc | Family Medicine | 619 Mount Royal Blvd, Pittsburgh, PA 15223-1225 | 2006-07-11 |
| 1912946518 | Eric A Frankel | Family Medicine | 619 Mount Royal Blvd, Pittsburgh, PA 15223-1225 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619392156 | Victoria Schuster | Physical Therapist | 915 Mount Royal Blvd., Pittsburgh, PA 15223 | 2014-02-20 |
| 1962687178 | Jennifer L Fierle | Family Medicine | 619 Mt Royal Blvd, Pittsburgh, PA 15223 | 2008-01-07 |
| 1124430855 | Ryan Michael Wolff | Dentist | 369 Butler Street, Pittsburgh, PA 15223 | 2014-05-29 |
| 1477868743 | Guardian Angel Home Care Services, Inc. | In Home Supportive Care | 1001 Mount Royal Blvd, Pittsburgh, PA 15223-1032 | 2010-08-11 |
| 1114912276 | Michael James Ashmore | Pharmacist | 915 Mount Royal Blvd, Pittsburgh, PA 15223-1046 | 2005-09-15 |
| 1003415829 | Orthopedic and Sports Physical Therapy Associates Inc | Physical Therapist | 915 Mount Royal Blvd, Pittsburgh, PA 15223-1046 | 2020-10-22 |
| 1386860021 | Lori S. Sarnowski | Pharmacist | 915 Mount Royal Blvd, Pittsburgh, PA 15223-1046 | 2007-04-18 |
| 1033265350 | Michelle Marie Sullivan | Pharmacist | 915 Mount Royal Blvd, Pittsburgh, PA 15223-1046 | 2007-01-27 |
| 1811093420 | Michael J Ashmore Inc | Pharmacy | 915 Mount Royal Blvd, Pittsburgh, PA 15223-1046 | 2006-09-15 |
| 1477570935 | Matthew Everett Matthews | Pharmacist | 915 Mount Royal Blvd, Pittsburgh, PA 15223-1046 | 2006-07-17 |
| Find all providers in zip 15223 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578066841 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 532 S Aiken Ave Ste 201, Pittsburgh, PA 15232-1521 | 2018-03-13 |
| 1306383922 | Dayo Navalgund Associates | Non-Pharmacy Dispensing Site | 491 E. Bruceton Rd., Suite 101, Pittsburgh, PA 15236 | 2017-01-20 |
| 1174808398 | Internal Medicine | Non-Pharmacy Dispensing Site | 24 Doctors Lane, 201, Pittsburgh, PA 15220 | 2011-10-19 |
| 1730348152 | Pittsburgh Internal Medicine Associates - Upmc | Non-Pharmacy Dispensing Site | 4190 Brownsville Rd, Pittsburgh, PA 15227-3331 | 2008-06-02 |
| 1124169701 | Upmc Community Medicine Inc | Non-Pharmacy Dispensing Site | 120 Lytton Ave Ste 100a, Pittsburgh, PA 15213-1481 | 2007-02-08 |
| 1346293917 | Sisters of St. Francis of Millvale | Non-Pharmacy Dispensing Site | 146 Hawthorne Rd, Pittsburgh, PA 15209-1916 | 2006-05-17 |
| 1518500750 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 617 Clairton Blvd, Pittsburgh, PA 15236-3811 | 2019-10-21 |
| 1750814976 | Sports Medicine and Joint Replacement Specialist Corp | Non-Pharmacy Dispensing Site | 345 Mount Lebanon Blvd, Pittsburgh, PA 15234-1504 | 2017-04-05 |
| 1790222578 | Dayalan Medical Associates | Non-Pharmacy Dispensing Site | 3601 Mcknight East Dr, Pittsburgh, PA 15237-6400 | 2017-01-31 |
| 1700322823 | Dayo Navalgund Associates | Non-Pharmacy Dispensing Site | 470 Home Dr, Pittsburgh, PA 15275-1204 | 2017-01-12 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15223 |
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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.