Renovation Orthopaedics, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

RENOVATION ORTHOPAEDICS, LLC

Practice address

20401 N 73Rd St Ste 155
Scottsdale, AZ 85255-4149

Phone

(602) 767-4732

Fax

(602) 351-5660

NPI assigned

May 7, 2020

Organization subpart

No

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

Authorized official

Name

Daniel D GalatNPI 1104803949

Title

Ceo

Phone

(602) 767-4732

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel D Galat Jr., M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Scottsdale, AZ
  • NPI 1104803949

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Heather Ann Miyashiro, PA-C

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1922516483
  Medicare reassignment Care Compare group
• Kurt William Moulton, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Towson, MD
  • NPI 1922605583

  AZ

  Medicare reassignment Care Compare group
• Benjamin Albert, M.D.

  • Orthopaedic Surgery Physician
  • Scottsdale, AZ
  • NPI 1235494741
  NPD

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641081600000",
    "number": "1295357614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 E. INDIAN SCHOOL RD",
            "address_2": "STE 21 #270",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85018",
            "telephone_number": "602-767-4732",
            "fax_number": "602-351-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20401 N 73RD ST STE 155",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554149",
            "telephone_number": "602-767-4732",
            "fax_number": "602-351-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVATION ORTHOPAEDICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A",
        "authorized_official_last_name": "GALAT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-767-4732"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Renfree, MD
• John Renfrew
• Amy Elizabeth Rengel, SLPA
• Peter-John Frank Rennie
• Renova Diagnostics LLC
• Renovation Surgical Assists, LLC
• Janae Nicole Rensvold, FNP
• Krystal Marie Renszel, DO
• Renuka P Kumar DDS
• Bobbie Lynn Repp, RDH

• Orthopaedic Surgery Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Orthopaedic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.