Active NPI
Renaissance Partners LLC
- Radiation Oncology Physician
- Winter Park, FL
National Provider Identifier
1386419349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- RENAISSANCE PARTNERS LLC
- Doing business as
- Renaissance Institute of Precision Oncology & Radiosurgery
- Practice address
- 1561 W Fairbanks Ave Ste 100
Winter Park, FL 32789-4678 - Phone
- (407) 478-4920
- NPI assigned
- Nov 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Evan Thomas, MD PHD
- Title
- Chief Medical Officer
- Phone
- (256) 684-4219
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | |||
| Neurology Physician | 2084N0400X | |||
| Radiation Oncology Physician | 2085R0001X | Primary | ||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Therapeutic Radiology Physician | 2085R0203X | |||
| Infusion Therapy Clinic/Center | 261QI0500X | |||
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | |||
| Oncology Clinic/Center | 261QX0200X | |||
| Radiation Oncology Clinic/Center | 261QX0203X |
Addresses
Primary practice location
1561 W Fairbanks Ave Ste 100
Winter Park, FL 32789-4678
Mailing address
1561 W Fairbanks Ave Ste 100
Winter Park, FL 32789-4678
Other names 1
- Renaissance Institute of Precision Oncology & Radiosurgery
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Nuclear Radiology Physician
- Winter Park, FL
- NPI 1790611234
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- Winter Park, FL
- NPI 1447618350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735776000000",
"number": "1386419349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1561 W FAIRBANKS AVE STE 100",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1561 W FAIRBANKS AVE STE 100",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894678",
"telephone_number": "407-478-4920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENAISSANCE PARTNERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-20",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "EVAN",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "256-684-4219",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD PHD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0203X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Therapeutic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QX0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QX0203X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oncology, Radiation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Renaissance Institute of Precision Oncology & Radiosurgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.