NPIMap

Organization Active NPI

Andre Renard MD PA

  • Plastic Surgery Physician
  • Sarasota, FL
National Provider Identifier
1104137348
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME20929 Issued in FL
Legal business name
ANDRE RENARD MD PA
Practice address
2401 University Pkwy
Sarasota, FL 34243-2893
Phone
(941) 351-6131
Fax
(941) 360-0557
NPI assigned
Jun 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Authorized official

Name
Carol Renard Whitmore, R.N.
Title
Vice-President
Phone
(941) 351-6131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X ME20929 FL Primary

Addresses

Primary practice location

2401 University Pkwy
Sarasota, FL 34243-2893

Mailing address

2401 University Pkwy
Ste 204
Sarasota, FL 34243-2893
Phone (941) 351-6131

National Provider Directory

National Provider Directory

Locations

2401 University Pkwy
Ste 204
Sarasota, FL 34243
Phone (941) 351-6131

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1104137348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY PKWY",
            "address_2": "STE 204",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432893",
            "telephone_number": "941-351-6131",
            "fax_number": "941-360-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY PKWY",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432893",
            "telephone_number": "941-351-6131",
            "fax_number": "941-360-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRE RENARD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "WHITMORE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "RENARD",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "941-351-6131",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME20929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.