Renaissance Plastic Surgery PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

36553 Issued in NC

Legal business name

RENAISSANCE PLASTIC SURGERY PA

Practice address

398 Copperfield Blvd NE
Concord, NC 28025

Phone

(704) 784-4008

Fax

(704) 784-2060

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Fremd Klein, MD

Title

Medical Doctor President

Phone

(704) 784-4008

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Cabarrus Plastic Surgery Former legal business name

Practitioners 1

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

• Brittian Wood Beaver, MD

  • Obstetrics & Gynecology Physician
  • Concord, NC
  • NPI 1740241892
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1861579088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 COPPERFIELD BLVD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "28025",
            "telephone_number": "704-784-4008",
            "fax_number": "704-784-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 COPPERFIELD BLVD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "28025",
            "telephone_number": "704-784-4008",
            "fax_number": "704-784-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE PLASTIC SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "FREMD",
        "authorized_official_title_or_position": "MEDICAL DOCTOR PRESIDENT",
        "authorized_official_telephone_number": "704-784-4008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "36553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8949685",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "49685",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cabarrus Plastic Surgery",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• October Reid
• Mark Reiff, MD
• Melanie Carol Reilly, PTA
• Serenity Reininger, MA, LMFTA
• Rajani Relangi, MD
• Renda L Welch DDS PA
• Danita Renee Repman, NP-C
• Jill C Resch, LPCA, NCC
• Jennifer Ann Resick, MSN APRN FNPC CCMCLC
• Rest Stop Therapy

• Plastic Surgery Physician in Concord, NC
• Providers in Concord, NC by specialty
• Plastic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.