Re-Nova Plastic Surgery Associates, L.L.C.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD445511 Issued in PA

Legal business name

RE-NOVA PLASTIC SURGERY ASSOCIATES, L.L.C.

Practice address

1000 Stonewood Dr Ste 320
Wexford, PA 15090-8386

Phone

(412) 638-2391

Fax

(724) 940-7728

NPI assigned

Jan 17, 2015

Organization subpart

No

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

Authorized official

Name

Julio A. Clavijo-Alvarez, M.D.

Title

Owner

Phone

(412) 657-5588

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1421452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421452800000",
    "number": "1285023952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 STONEWOOD DR STE 320",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908386",
            "telephone_number": "412-638-2391",
            "fax_number": "724-940-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 STONEWOOD DR STE 320",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908386",
            "telephone_number": "412-638-2391",
            "fax_number": "724-940-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE-NOVA PLASTIC SURGERY ASSOCIATES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-17",
        "last_updated": "2015-01-17",
        "status": "A",
        "authorized_official_last_name": "CLAVIJO-ALVAREZ",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-657-5588",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD445511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Marie Rathe, AU.D.
• Thulasingam Ravindramurthy, MD
• Angela M Ravotti, CRNP
• Brandy Marie Rawls, SBD
• Raymond G Jurewicz PC
• Rea Direct Care PC
• Erin Reddinger
• Amber Brenay Reed
• Mackenzie Nicole Reed, PA-C
• Jessica Marshall Regan, RDN, LDN, FMN, CLT

• Plastic Surgery Physician in Wexford, PA
• Providers in Wexford, PA by specialty
• Plastic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2015; 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.