Organization Active NPI

Renaissance Plastic Surgeons LTD

  • Plastic Surgery Physician
  • Wadsworth, OH
National Provider Identifier
1578737599
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
RENAISSANCE PLASTIC SURGEONS LTD
Practice address
185 Wadsworth Rd
Suite J
Wadsworth, OH 44281-8330
Phone
(330) 334-7800
Fax
(330) 334-3252
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Nicholas H Papas, MD
Title
Owner
Phone
(330) 334-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

185 Wadsworth Rd
Suite J
Wadsworth, OH 44281-8330

Mailing address

185 Wadsworth Rd
Suite J
Wadsworth, OH 44281-8330
Phone (330) 334-7800

Other identifiers 1

IdentifierTypeStateIssuer
2900034MedicaidOH

National Provider Directory

National Provider Directory

Locations

1946 Town Park Blvd
Ste 100
Green, OH 44685
Phone (330) 344-4115

1587 Boettler Rd
Ste 102
Green, OH 44685
Phone (330) 670-8020

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1578737599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WADSWORTH RD",
            "address_2": "SUITE J",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818330",
            "telephone_number": "330-334-7800",
            "fax_number": "330-334-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WADSWORTH RD",
            "address_2": "SUITE J",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818330",
            "telephone_number": "330-334-7800",
            "fax_number": "330-334-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE PLASTIC SURGEONS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "PAPAS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-334-7800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2900034",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.