Renew Womancare LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD18043 Issued in OR

Legal business name

RENEW WOMANCARE LLC

Practice address

2937 NW Highway 101
Unit a
Lincoln City, OR 97367-4442

Phone

(541) 614-0314

NPI assigned

Dec 1, 2010

Last updated

Jun 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dan D Kort, M.D

Title

Member/Owner

Phone

(541) 994-8194

Specialties & licenses 1

Addresses

Other names 1

• Renew Clinic & Spa Other name

Locations

Practitioners 1

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.

• Joanne E. Kort, CNM, MPH

  • Advanced Practice Midwife
  • Lincoln City, OR
  • NPI 1386686285
  NPD (past)

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1861794505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827",
            "city": "NEOTSU",
            "state": "OR",
            "postal_code": "973640827",
            "telephone_number": "541-614-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2937 NW HIGHWAY 101",
            "address_2": "UNIT A",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973674442",
            "telephone_number": "541-614-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW WOMANCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "KORT",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "541-994-8194",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD18043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew Clinic & Spa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Darrell Duane Prins, D.P.M.
• Arnulfo Jr Puentes
• Arun Raman, M.B.,B.S.
• Timothy Rash
• Renew Healthcare LLC
• Renovo Chiropractic LLC
• Amber Reyes
• Rory Fleming Richardson, PH.D., FICPPM
• Kay Riedl
• Nicole Riggan, RN

• Specialist in Lincoln City, OR
• Providers in Lincoln City, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.