Renaissance Medical Management Company

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

RENAISSANCE MEDICAL MANAGEMENT COMPANY

Practice address

489 Devon Park Dr
Suite 306
Wayne, PA 19087-1809

Phone

(610) 254-7662

Fax

(610) 687-8458

NPI assigned

May 24, 2011

Organization subpart

No

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

Authorized official

Name

Mr. PO Chou

Title

Chief Operating Officer

Phone

(610) 254-2955

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1174816227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 DEVON PARK DR",
            "address_2": "SUITE 306",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871809",
            "telephone_number": "610-254-7662",
            "fax_number": "610-687-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 DEVON PARK DR",
            "address_2": "SUITE 306",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871809",
            "telephone_number": "610-254-7662",
            "fax_number": "610-687-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE MEDICAL MANAGEMENT COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "CHOU",
        "authorized_official_first_name": "PO",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "610-254-2955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Redhouse, M.S., CCC-SLP
• Rediclinic of PA, LLC
• Victoria Breanne Rehr, MA, BCBA, LBS
• Carrie E Reif, CRNP
• Casey Reilly
• Gary Watson Rendina, DC
• Renewing Mindsets LLC
• Reproductive Medicine Associates of Philadelphia (RMA of Philadelphia)
• Reproductive Science Institute
• Reproductive Science Laboratories

• General Practice Physician in Wayne, PA
• Providers in Wayne, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.