RENAISSANCE HEALTH AND SURGICAL ASSOCIATES, P.C. (NPI# 1801941539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801941539 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE HEALTH AND SURGICAL ASSOCIATES, P.C. |
| Other Organization Name | RENAISSANCE HEALTH AND SURGICAL ASSOCIATES, P.C. |
| Practice Address |
325 S Cedar Ave Suite 2 South Pittsburg TN 37380-1305 |
| Practice Telephone | 4238375801 |
| Practice Fax Number | 4238375807 |
| Mailing Telephone | 4238375801 |
| Mailing Fax Number | 4238375807 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2015-09-15 |
| Authorized Official Name | DR. RENA A AZAR (PHYSICIAN) |
| Authorized Official Telephone | 4238375801 |
| Authorized Official Credential | M.D. FPMRS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
30628 | TN | Allopathic & Osteopathic Physicians |
| N | 207VC0200X |
Obstetrics & Gynecology Specialization: Critical Care Medicine |
30628 | TN | Allopathic & Osteopathic Physicians |
| N | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
30628 | TN | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
30628 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS TN | 3149771 | 01 |
| AL | BCBS AL PROV # | 891-08307 | 01 |
| Other Name | Type Code |
|---|---|
| RENAISSANCE HEALTH AND SURGICAL ASSOCIATES, P.C. | Other Name - Individual/Organization |
| Street Address |
325 S CEDAR AVE SUITE 2 |
| City | SOUTH PITTSBURG |
| State | TN |
| Zip Code | 37380-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760537484 | Rena A Azar | Specialist | 325 S Cedar Ave, Suite 2, South Pittsburg, TN 37380-1305 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942301361 | Lee & Barton Dds | Dentist | 255 Laboratory Rd, Oak Ridge, TN 37380 | 2006-09-26 |
| 1104849397 | Thomas Charles Helm | Dentist | 1904 S Cedar Ave, South Pittsburg, TN 37380 | 2006-07-26 |
| 1710928908 | George Harold Lloyd Jr. | Optometrist | 233 Cedar Ave, South Pittsburg, TN 37380 | 2006-06-09 |
| 1538792825 | Mandy Howard | Nurse Practitioner | 319 Oak Ave, South Pittsburg, TN 37380-1233 | 2020-02-15 |
| 1881136265 | Spectacles Family Eyecare | Optometrist | 233 S Cedar Ave, South Pittsburg, TN 37380-1303 | 2016-11-16 |
| 1194333005 | Body In Rhythm Physical Therapy and Wellness, LLC | Physical Therapist | 325 S Cedar Ave Ste 2, South Pittsburg, TN 37380-1305 | 2020-07-16 |
| 1407250954 | Katie Elizabeth Henson | Physical Therapist | 325 S Cedar Ave # 2, South Pittsburg, TN 37380-1305 | 2014-10-13 |
| 1154580736 | Pediatric Specialists of Marion County Pllc | Pediatrics | 325 South Cedar Ave, Suite 1, South Pittsburg, TN 37380-1305 | 2008-06-09 |
| 1285706465 | Jeremy G York | Pharmacist | 335 S Cedar Ave, South Pittsburg, TN 37380-1305 | 2006-11-14 |
| 1366547879 | Kathy Cartwright Philyaw | Pediatrics | 325 South Cedar Avenue, Suite 1, South Pittsburg, TN 37380-1305 | 2006-09-13 |
| Find all providers in zip 37380 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801994793 | Robert F Elder | Obstetrics & Gynecology | 1930 Alcoa Hwy, Ste 235, Knoxville, TN 37920-1500 | 2006-09-21 |
| 1376568709 | Robert Summitt | Obstetrics & Gynecology | 7800 Wolf Trail Cv, Germantown, TN 38138-1753 | 2006-07-13 |
| 1801811237 | Val Vogt | Obstetrics & Gynecology | 1325 Wolf Park Dr, Ste 102, Germantown, TN 38138-1759 | 2006-07-13 |
| City | SOUTH PITTSBURG |
| Zip Code | 37380 |
Please comment or provide details below to improve the information on RENAISSANCE HEALTH AND SURGICAL ASSOCIATES, P.C..
| 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.