Renovare Clinic of Natural Medicine PA

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

7243 Issued in AZ

Legal business name

RENOVARE CLINIC OF NATURAL MEDICINE PA

Practice address

18301 North 79TH Ave
Suite G190
Glendale, AZ 85308

Phone

(623) 776-0206

Fax

(623) 776-0282

NPI assigned

Dec 1, 2006

Last updated

Apr 8, 2008By 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

Dr. Timothy Charles Gerhart, DC

Title

Ceo

Phone

(623) 776-0206

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1902974678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18301 NORTH 79TH AVE",
            "address_2": "SUITE G190",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "623-776-0206",
            "fax_number": "623-776-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18301 NORTH 79TH AVE",
            "address_2": "SUITE G190",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "623-776-0206",
            "fax_number": "623-776-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVARE CLINIC OF NATURAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "GERHART",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-776-0206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7243",
            "primary": false
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "AZ",
            "license": "7243",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "7243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renal Care Group Arizona, LLC (Fresenius Medical Care Thunderbird)
• Renew Medical Center, LLC
• Renew Sleep Solutions, Inc.
• Renewpoint Palace
• Ashlyn Renn
• Jaimie Renstrom, SLPA
• Reprieve Home Care LLC
• Rescare Arizona, Inc.
• Resilient Community Care LLC
• Jamie L Ressa, M.S.

• Internist Chiropractor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Internist Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.