Renaissance Medical Management LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

RENAISSANCE MEDICAL MANAGEMENT LLC

Practice address

3509 French Park Dr Ste E
Edmond, OK 73034-7291

Phone

(405) 285-6901

Fax

(405) 285-6902

NPI assigned

Mar 7, 2024

Organization subpart

No

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

Authorized official

Name

Jeffrey Lynn Watts, MDNPI 1912981499

Title

Owner, Medical Doctor

Phone

(405) 205-7424

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Jeffrey L. Watts, M.D.

  • Diagnostic Radiology Physician
  • Edmond, OK
  • NPI 1912981499
  NPD Authorized official
• James Keith Cooper, M.D.

  • Diagnostic Radiology Physician
  • Edmond, OK
  • NPI 1306985569
  NPD
• Kenneth Eugene Harper, MD

  • Diagnostic Radiology Physician
  • Edmond, OK
  • NPI 1972551455
  NPD (past)
• Taylor F Lancaster, M.D.

  • Diagnostic Radiology Physician
  • Edmond, OK
  • NPI 1760521645
  NPD (past)

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1194583963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 W I-35 FRONTAGE ROAD STE 116 PMB 203",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73034",
            "telephone_number": "405-285-6901",
            "fax_number": "405-285-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 FRENCH PARK DR STE E",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347291",
            "telephone_number": "405-285-6901",
            "fax_number": "405-285-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE MEDICAL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER, MEDICAL DOCTOR",
        "authorized_official_telephone_number": "405-205-7424",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Reinschmiedt, PH.D., CRC, LPC
• Reliable Medical Solutions, LLC
• Remedy Health Direct Primary Care
• Remedy Health PLLC
• Amy Remy
• Renal Dietitian Specialists of Oklahoma
• Renal Treatment Centers West Inc
• Renegade Productions LLC
• Donna Gayle Renfro
• Leah Rennaker, RBT

• Diagnostic Radiology Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Diagnostic Radiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.