Renaissance Surgery Center of Chattanooga, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RENAISSANCE SURGERY CENTER OF CHATTANOOGA, LLC

Practice address

1801 Gunbarrel Rd
Chattanooga, TN 37421-3130

Phone

(423) 521-7880

Fax

(423) 521-7881

NPI assigned

Apr 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Glenn N Pomerance, M.D.NPI 1609868017

Title

Owner

Phone

(423) 855-6800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Listed as

Renaissance Surgery Center of Chattanooga LLCCCN 44C0001182

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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

• Glenn Noel Pomerance, M.D.

  • Specialist
  • Chattanooga, TN
  • NPI 1609868017
  NPD Authorized official
• Edwin Wendell Gannon III, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Memphis, TN
  • NPI 1205362571
  NPD (past)
• Gene Lee, M.D.

  • Specialist
  • Chattanooga, TN
  • NPI 1568646974
  NPD (past)
• Michelle Lynn Yu Robison, M.D.

  • Specialist
  • Chattanooga, TN
  • NPI 1578555835
  NPD (past)

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1841589116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 GUNBARREL RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213130",
            "telephone_number": "423-521-7880",
            "fax_number": "423-521-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 GUNBARREL RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213130",
            "telephone_number": "423-521-7880",
            "fax_number": "423-521-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE SURGERY CENTER OF CHATTANOOGA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "POMERANCE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-855-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brandon Renda
• Heather Brooke Renninger, CMSW
• Anne Renshaw
• Resilient Spread Development
• Scott Alan Resnick, MD

• Ambulatory Surgical Clinic/Center in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Ambulatory Surgical Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.