Renue Regenerative Medicine

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

RENUE REGENERATIVE MEDICINE

Practice address

7557 W Greenway Rd Ste 101
Peoria, AZ 85381-3804

Phone

(623) 566-3436

NPI assigned

Feb 26, 2021

Last updated

Jun 14, 2021By 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

Mark Vandever, D.C.NPI 1730205550

Title

Owner

Phone

(623) 566-3436

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.

• Mark Eric Vandever, DC

  • Chiropractor
  • Glendale, AZ
  • NPI 1730205550
  NPD Authorized official

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1497349799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7557 W GREENWAY RD STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813804",
            "telephone_number": "623-566-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7557 W GREENWAY RD STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813804",
            "telephone_number": "623-566-3436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 N CENTRAL BLVD",
            "address_purpose": "LOCATION",
            "city": "QUARTZSITE",
            "state": "AZ",
            "postal_code": "85346",
            "country_code": "US",
            "telephone_number": "623-566-3436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENUE REGENERATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "VANDEVER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-566-3436",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Elizabeth Reiter, FNP
• Remote Monitoring Specialist LLC
• Thomas Renda
• Susan Renshaw, LAC
• Anita Kaye Renshler-Brown, PHD, FNP-C
• Rescare Arizona, Inc.
• Resilient Solutions Counseling and Consulting Services LLC
• Reunion Rehabilitation Hospital Peoria, LLC (Rehabilitation Hospital Peoria)
• Janis S Rey
• Justin A Reynolds, MD

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.