Renaissance Northeast Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RENAISSANCE NORTHEAST SURGERY CENTER

Doing business as

Renaissance Surgical Center

Practice address

18929 Highway 59 N
Humble, TX 77338-4270

Phone

(713) 532-7311

Fax

(281) 446-6372

NPI assigned

May 7, 2008

Organization subpart

No

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

Authorized official

Name

Omar Kiggundu

Title

Cfo

Phone

(713) 532-7311

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Renaissance Surgical Center Doing business as

Tax ID family

Renaissance North East Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Renaissance North East Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Humble, TX
  • NPI 1851393169
  NPD tax ID

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1083880298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773470669",
            "telephone_number": "713-532-7311",
            "fax_number": "713-554-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18929 HIGHWAY 59 N",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384270",
            "telephone_number": "713-532-7311",
            "fax_number": "281-446-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE NORTHEAST SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "KIGGUNDU",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-532-7311"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158696801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reliable Orthopedic Services, PLLC
• Reliable Universal Operations, PLLC
• Relief Pain and Wellness
• Shundra Reliford
• Renaissance North East Surgery Center
• Renaissance Surgical Center-Northeast, L.L.P
• Aaron Reneau, O.D.
• Jared N Reneau, PTA
• Renew Surgical Center, PA
• Renewed Hope Counseling Center

• Ambulatory Surgical Clinic/Center in Humble, TX
• Providers in Humble, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.