Active NPI
Renew Foot Care Group LLC
- Podiatrist
- Maryville, IL
National Provider Identifier
1245931740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- RENEW FOOT CARE GROUP LLC
- Practice address
- 2035 Briarbend CT
Maryville, IL 62062-5833 - Phone
- (618) 741-6768
- NPI assigned
- Mar 13, 2023
- Last updated
- Mar 13, 2023
- 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. Michelle Renee Murray, DPM
- Title
- Owner/Ceo
- Phone
- (618) 741-6768
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | NU | Primary |
Addresses
Primary practice location
2035 Briarbend CT
Maryville, IL 62062-5833
Mailing address
2035 Briarbend CT
Maryville, IL 62062-5833
Phone (618) 741-6768
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Primary Podiatric Medicine Podiatrist
- Chicago, IL
- NPI 1295780153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678665600000",
"number": "1245931740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2035 BRIARBEND CT",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620625833",
"telephone_number": "618-741-6768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2035 BRIARBEND CT",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620625833",
"telephone_number": "618-741-6768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEW FOOT CARE GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-13",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A",
"authorized_official_last_name": "MURRAY",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "618-741-6768",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, IL
- Amanda Marie Reilson, RD, LDN
- Corinne S Reinholz, PA
- Renal Treatment Centers-Illinois Inc (Maryville Home Dialysis)
- Renal Treatment Centers-Illinois Inc (Maryville Dialysis)
- Theresa L. Rendleman, PT
- Meagan Rhodes
- Richard M. Novak, DC PC
- Diane A. Richter, PT
- Natalie Ann Ritzheimer, PA
- Kristin Marie Roberts-Kneedler, LCPC, NCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.