Renovo Medical LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

KS0434389 Issued in KS

Legal business name

RENOVO MEDICAL LLC

Doing business as

University Medical

Practice address

816 N Campus Dr
Suite 500
Garden City, KS 67846-6329

Phone

(620) 805-5162

Fax

(620) 805-5183

NPI assigned

Sep 24, 2008

Last updated

Mar 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Prof. Joel T Erskin, SCD PA-CNPI 1487634069

Title

Ceo/Physician Assistant

Phone

(620) 805-5162

Specialties & licenses 4

Addresses

Other identifiers 6

Other names 1

• University Medical Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joel T Erskin, SCD PA

  • Surgical Physician Assistant
  • Garden City, KS
  • NPI 1487634069
  NPD (past) Authorized official
• Kristi L Schmitt, NP

  • Family Nurse Practitioner
  • Garden City, KS
  • NPI 1669659967
  NPD
• James P Newby, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Wichita, KS
  • NPI 1386688976
  NPD (past)
• Michael N Shaw, PA

  • Medical Physician Assistant
  • Wichita, KS
  • NPI 1063482917
  NPD (past)

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457136000000",
    "number": "1083864219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 N CAMPUS DR",
            "address_2": "SUITE 500",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678466329",
            "telephone_number": "620-805-5162",
            "fax_number": "620-805-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 N CAMPUS DR",
            "address_2": "SUITE 500",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678466329",
            "telephone_number": "620-805-5162",
            "fax_number": "620-805-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVO MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2016-03-05",
        "status": "A",
        "authorized_official_last_name": "ERSKIN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO/PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "620-805-5162",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "SCD PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KS",
            "license": "1500265",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45404",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KS",
            "license": "KS0434389",
            "primary": true
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "KS",
            "license": "0416265",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI JOEL T. ERSKIN PA-C",
            "identifier": "1487634069",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730135500",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200063310F",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "055515",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST GUARD",
            "identifier": "659930",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI KRISTI L. SCHMITT",
            "identifier": "1669659967",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlyn L Regier, ATC, LAT
• Angela Michelle Reich, DPT
• Kristina R Reimer, O.D.
• Amy Reist, RN
• Renal Treatment Centers West Inc (Garden City Dialysis Center)
• Rescare Kansas, Inc.
• Elizabeth Reta
• Revere Healthcare Solutions, Inc (RHS)
• Revive Counseling Services, LLC
• Sindy B Reyes

• General Practice Physician in Garden City, KS
• Providers in Garden City, KS by specialty
• General Practice Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.