Renaissance Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RENAISSANCE SURGERY CENTER LLC

Practice address

2400 Witzel Ave
Suite C
Oshkosh, WI 54904-8369

Phone

(920) 203-6263

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Diana Krause

Title

Administrator

Phone

(920) 203-6263

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• William G Doubek, M.D.

  • Plastic Surgery Physician
  • Oshkosh, WI
  • NPI 1457339913
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134330533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WITZEL AVE",
            "address_2": "SUITE C",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549048369",
            "telephone_number": "920-203-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WITZEL AVE",
            "address_2": "SUITE C",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549048369",
            "telephone_number": "920-203-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "920-203-6263"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenna L Reimer, APNP
• Tracey Reinders, RN
• Gregory Reiser, MD
• Terese Ann Reitzner
• Constance Remick
• Renewed Family Chiropractic
• Res-Care Wisconsin, Inc.
• Respect Counseling Center LLC
• Christine Reynolds, COTA
• Robert Clark Rhodes, MPT

• Ambulatory Surgical Clinic/Center in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Ambulatory Surgical Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.