Renaissance Reconstructive & Aesthetic Surgery Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

35070442A Issued in OH

Legal business name

RENAISSANCE RECONSTRUCTIVE & AESTHETIC SURGERY INC

Practice address

2300 W Elm St
Lima, OH 45805-2541

Phone

(419) 228-8500

Fax

(419) 228-8700

NPI assigned

Nov 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Martin Akers, M.D.

Title

Ceo

Phone

(419) 228-8500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Sue Berger, PA-C

  • Surgical Physician Assistant
  • Medina, OH
  • NPI 1124086897
  Medicare reassignment

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1659616852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W ELM ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W ELM ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052541",
            "telephone_number": "419-228-8500",
            "fax_number": "419-228-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE RECONSTRUCTIVE & AESTHETIC SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "AKERS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-228-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35070442A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Reichenbach, MA, LPCC
• Adam Reidenbach, CRNA
• Jamie Lee Reindel, FNP
• Thomas Reinsel, S3111
• Judy Reist, LPCC
• Ashley Renee Rendon, LISW
• Julie Renner, PT
• Christina Marie Reser
• Restoration House of Lima, LLC
• Heather A Rethman, CNP-ACNP

• Specialist in Lima, OH
• Providers in Lima, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.