Active NPI
Renatus Professional Association
- Family Medicine Physician
- Memphis, TN
National Provider Identifier
1811398944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- RENATUS PROFESSIONAL ASSOCIATION
- Practice address
- 3960 Knight Arnold Rd
Memphis, TN 38118-3035 - Phone
- (901) 267-9821
- NPI assigned
- Sep 8, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Nathaniel Donlon, M.D.
- Title
- Chief Executive Officer
- Phone
- (901) 267-9821
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Pediatrics Physician | 208000000X | |||
| Surgery Physician | 208600000X |
Addresses
Primary practice location
3960 Knight Arnold Rd
Memphis, TN 38118-3035
Mailing address
716 W Brookhaven Cir
Memphis, TN 38117-4504
Phone (901) 267-9821
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410134400000",
"number": "1811398944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 W BROOKHAVEN CIR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381174504",
"telephone_number": "901-267-9821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3960 KNIGHT ARNOLD RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381183035",
"telephone_number": "901-267-9821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENATUS PROFESSIONAL ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-08",
"last_updated": "2014-09-08",
"status": "A",
"authorized_official_last_name": "DONLON",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "NATHANIEL",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "901-267-9821",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.