NPIMap

Organization Active NPI

Renaissance Family Practice, Inc

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1528093275
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RENAISSANCE FAMILY PRACTICE, INC
Practice address
103 Gamma Dr
Suite 120
Pittsburgh, PA 15238-2976
Phone
(412) 781-1917
Fax
(412) 781-1536
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marie Zanotti
Title
Executive Director
Phone
(724) 274-9451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

103 Gamma Dr
Suite 120
Pittsburgh, PA 15238-2976

Mailing address

600 Watercrest Way
Suite 630
Cheswick, PA 15024-1370
Phone (724) 274-9420

Other identifiers 1

IdentifierTypeStateIssuer
400223OtherPAHIGHMARK DIVISION

Other names 1

  • RFP/RIDC Division Other name

National Provider Directory

National Provider Directory
Tax ID family
Renaissance Family Practice Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

103 Gamma Dr
Ste 120
Pittsburgh, PA 15238
Phone (412) 781-1917

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528093275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WATERCREST WAY",
            "address_2": "SUITE 630",
            "city": "CHESWICK",
            "state": "PA",
            "postal_code": "150241370",
            "telephone_number": "724-274-9420",
            "fax_number": "724-274-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 GAMMA DR",
            "address_2": "SUITE 120",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382976",
            "telephone_number": "412-781-1917",
            "fax_number": "412-781-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE FAMILY PRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZANOTTI",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "724-274-9451"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK DIVISION",
            "identifier": "400223",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RFP/RIDC Division",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.