Renew Bariatric Surgery. LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

013995 Issued in LA

Legal business name

RENEW BARIATRIC SURGERY. LLC

Practice address

4429 Clara St
Suite 600
New Orleans, LA 70115-6902

Phone

(504) 897-0700

Fax

(504) 897-0714

NPI assigned

May 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ruary Cilian Oconnell, MD

Title

President

Phone

(504) 897-0700

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1265699037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4429 CLARA ST",
            "address_2": "SUITE 600",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701156902",
            "telephone_number": "504-897-0700",
            "fax_number": "504-897-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4429 CLARA ST",
            "address_2": "SUITE 600",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701156902",
            "telephone_number": "504-897-0700",
            "fax_number": "504-897-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW BARIATRIC SURGERY. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "OCONNELL",
        "authorized_official_first_name": "RUARY",
        "authorized_official_middle_name": "CILIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-897-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "LA",
            "license": "013995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1182079",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renaissance 1 Social Services, LLC
• Renal Treatment Centers - Southeast, LP
• Renalsouth Garden District LLC
• Justice Renard
• Rendering Total Love and Care All Around
• Renew Health Services
• Renew McDonogh City Park Academy
• Renew Podiatry Footcare and Aesthetics Medspa LLC
• Renew- Reinventing Education
• Renew- Reinventing Education

• Surgery Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.