Renaissance Plastic Surgery PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

M8498 Issued in TX

Legal business name

RENAISSANCE PLASTIC SURGERY PLLC

Practice address

5880 Ashmill Dr Ste 200
Plano, TX 75024-0031

Phone

(972) 378-3870

Fax

(972) 378-7977

NPI assigned

Jun 23, 2008

Last updated

Oct 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeff Oliver Angobaldo, MDNPI 1134304579

Title

Medical Doctor/Owner

Phone

(972) 378-3870

Specialties & licenses 1

Addresses

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.

• Jeff Oliver Angobaldo, M.D.

  • Plastic Surgery Physician
  • Plano, TX
  • NPI 1134304579
  Authorized official Same address or phone

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1366603359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 ASHMILL DR STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240031",
            "telephone_number": "972-378-3870",
            "fax_number": "972-378-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 ASHMILL DR STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240031",
            "telephone_number": "972-378-3870",
            "fax_number": "972-378-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "ANGOBALDO",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/OWNER",
        "authorized_official_telephone_number": "972-378-3870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "M8498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Remedi Seniorcare of Dallas, LLC
• Benjamin J Remington, M.D.
• Hao-Yu Ren, M.D.
• Renaissance Neurodiagnostics PA (DISC Spine Institute)
• Renaissance Plastic Surgery
• Renaissance Radiology Billing Solutions, LLC (Renaissance Radiology)
• Renal Center of Plano, LLC (Renal Center of Plano)
• Renal Treatment Centers Southeast LP (West Plano Dialysis)
• Renal Treatment Centers-Southeast, LP. (Plano Dialysis Center)
• Madeline Anne Renals

• Plastic Surgery Physician in Plano, TX
• Providers in Plano, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.