Organization Active NPI

Suzanne D. Renfro M.D., PA

  • Anesthesiology Physician
  • Greenville, SC
National Provider Identifier
1598711814
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
17600 Issued in SC
Legal business name
SUZANNE D. RENFRO M.D., PA
Doing business as
MDA Associates II, LLC
Practice address
130 Rockingham Rd
Greenville, SC 29607-3621
Phone
(864) 422-1793
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Suzanne D. Renfro, M.D.
Title
President
Phone
(864) 422-1793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 17600 SC Primary

Addresses

Primary practice location

130 Rockingham Rd
Greenville, SC 29607-3621

Mailing address

130 Rockingham Rd
Greenville, SC 29607-3621
Phone (864) 422-1793

Other names 1

  • MDA Associates II, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1598711814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ROCKINGHAM RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073621",
            "telephone_number": "864-422-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ROCKINGHAM RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073621",
            "telephone_number": "864-422-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE D. RENFRO M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "RENFRO",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-422-1793",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "17600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDA Associates II, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.