Active NPI
Renaissance Care LLC
- Internal Medicine Physician
- Brunswick, OH
National Provider Identifier
1144314949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35-83542
- Legal business name
- RENAISSANCE CARE LLC
- Practice address
- 3841 Center Rd
Brunswick, OH 44212-3099 - Phone
- (330) 220-1616
- Fax
- (330) 220-1717
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elizabeth Perstin, M.D.
- Title
- Internal Medicine
- Phone
- (330) 220-1616
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-83542 | OH | Primary |
Addresses
Primary practice location
3841 Center Rd
Brunswick, OH 44212-3099
Mailing address
20220 Center Ridge Rd
Suite 150
Rocky River, OH 44116-3501
Phone (440) 409-0312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2456524 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
3841 Center Rd
Brunswick, OH 44212
Phone (330) 220-1616
20220 Center Ridge Rd
Ste 150
Rocky River, OH 44116
Practitioners & affiliated clinicians
Practitioners 1
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": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1144314949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20220 CENTER RIDGE RD",
"address_2": "SUITE 150",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "441163501",
"telephone_number": "440-409-0312",
"fax_number": "440-409-0322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3841 CENTER RD",
"city": "BRUNSWICK",
"state": "OH",
"postal_code": "442123099",
"telephone_number": "330-220-1616",
"fax_number": "330-220-1717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENAISSANCE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PERSTIN",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "INTERNAL MEDICINE",
"authorized_official_telephone_number": "330-220-1616",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-83542",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2456524",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, OH
Sources for this page
- 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.