Renew Medical Center, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

RENEW MEDICAL CENTER, LLC

Practice address

17250 N 43Rd Ave Ste 5
Glendale, AZ 85308-4037

Phone

(623) 842-1261

Fax

(623) 334-0182

NPI assigned

Jan 20, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Linda Schmidt

Title

Member/Owner

Phone

(623) 842-1261

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Ashley Coombs, NP

  • Nurse Practitioner
  • Surprise, AZ
  • NPI 1841015278
  Medicare reassignment Care Compare group NPD
• Heather Geyman, FNP

  • Family Nurse Practitioner
  • Glendale, AZ
  • NPI 1013737394
  Medicare reassignment Care Compare group NPD
• Bruce Schmidt, DC

  • Chiropractor
  • Glendale, AZ
  • NPI 1578577938
  Medicare reassignment Care Compare group NPD
• Sandra Lerdal, AGNP

  • Gerontology Nurse Practitioner
  • Phoenix, AZ
  • NPI 1487312187
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1043800345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17250 N 43RD AVE STE 5",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084037",
            "telephone_number": "623-842-1261",
            "fax_number": "623-334-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17250 N 43RD AVE STE 5",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084037",
            "telephone_number": "623-842-1261",
            "fax_number": "623-334-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "623-842-1261"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@renewmedaz.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17250 N 43rd Ave Ste 5",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853084037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Relivagain4Lyf LLC
• Therese I Remblake, BS PHARM
• Rachel Remund, PA-C
• Renaissance Center for Sleep and TMJ Disorders LLC
• Renal Care Group Arizona, LLC
• Renew Sleep Solutions, Inc.
• Renewpoint Palace
• Ashlyn Renn
• Renovare Clinic of Natural Medicine PA
• Jaimie Renstrom, SLPA

• Physical Medicine & Rehabilitation Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.