Organization Active NPI

Renaissance Care LLC

  • Internal Medicine Physician
  • Brunswick, OH
National Provider Identifier
1144314949
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-83542 Issued in OH
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Elizabeth Perstin, M.D.NPI 1558329391
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2456524MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.