NPIMap

Organization Active NPI

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

  • Plastic Surgery Physician
  • Wexford, PA
National Provider Identifier
1285023952
Registry record updated Jan 17, 2015
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jan 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2015

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.NPI 1427253863
Title
Owner
Phone
(412) 657-5588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X MD445511 PA Primary

Addresses

Primary practice location

1000 Stonewood Dr Ste 320
Wexford, PA 15090-8386

Mailing address

1000 Stonewood Dr Ste 320
Wexford, PA 15090-8386
Phone (412) 638-2391

National Provider Directory

National Provider Directory

Locations

1000 Stonewood Dr
Ste 320
Wexford, PA 15090
Phone (412) 638-2391

Practitioners & 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.

NPI Registry JSON

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": []
}

Other providers in Wexford, PA

Sources for this page

  • 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.