NPIMap

Organization Active NPI

Renew, LLC

  • Vascular & Interventional Radiology Physician
  • Eugene, OR
National Provider Identifier
1760142095
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
RENEW, LLC
Practice address
10 Coburg Rd Ste 300
Eugene, OR 97401-7481
Phone
(541) 681-8586
Fax
(541) 681-8587
NPI assigned
Dec 28, 2021
Last updated
Oct 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Mr. Dennis Chaltraw, DIRECTOR RCM
Title
Organizer
Phone
(541) 302-7771

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Radiology Clinic/Center 261QR0200X NU
Vascular & Interventional Radiology Physician 2085R0204X NU Primary

Addresses

Primary practice location

10 Coburg Rd Ste 300
Eugene, OR 97401-7481

Mailing address

675 Oak St Ste 400
Eugene, OR 97401-2673
Phone (541) 302-5240

Other names 1

  • ReNew Vascular Institute Other name

National Provider Directory

National Provider Directory

Locations

10 Coburg Rd
#220
Eugene, OR 97401
Phone (541) 681-8586

675 Oak St
Ste 400
Eugene, OR 97401

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1760142095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 OAK ST STE 400",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012673",
            "telephone_number": "541-302-5240",
            "fax_number": "541-344-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COBURG RD STE 300",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017481",
            "telephone_number": "541-681-8586",
            "fax_number": "541-681-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "CHALTRAW",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "541-302-7771",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DIRECTOR RCM"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReNew Vascular Institute",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ReNew Vascular Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.