NPIMap

Organization Active NPI

Renaissance Orthopaedic Clinic, LLC

  • Orthopaedic Surgery Physician
  • Florence, AL
National Provider Identifier
1194990739
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD25810 Issued in AL
Legal business name
RENAISSANCE ORTHOPAEDIC CLINIC, LLC
Practice address
2201 Cloyd Blvd
Florence, AL 35630-1505
Phone
(256) 768-9928
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Lloyd Johnson III, MDNPI 1477514180
Title
Sole Member
Phone
(256) 768-9928

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
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X MD25810 AL Primary

Addresses

Primary practice location

2201 Cloyd Blvd
Florence, AL 35630-1505

Mailing address

2201 Cloyd Blvd
Florence, AL 35630-1505
Phone (256) 768-9928

National Provider Directory

National Provider Directory

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": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1194990739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 CLOYD BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301505",
            "telephone_number": "256-768-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 CLOYD BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301505",
            "telephone_number": "256-768-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE ORTHOPAEDIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "256-768-9928",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "MD25810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.