Renaissance Plastic Surgery PC

Plastic Surgery Physician · Indpls, IN

Organization Active NPI

NPI number 1407914567

Practice location

10293 N Meridian St
Suite 200
Indpls, IN 46290
Phone
(317) 575-9152
Fax
(317) 575-9281

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NPI record

NPI
1407914567
Entity type
Organization (Type 2)
Enumeration date
December 4, 2006
Last updated
June 27, 2013
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Plastic Surgery Physician Primary 208200000X — —

Authorized official

Name
Dr. Joseph J Fata
Title
Owner
Phone
(317) 575-9152

About Renaissance Plastic Surgery PC

Renaissance Plastic Surgery PC is a healthcare organization registered in the NPI registry with the primary taxonomy Plastic Surgery Physician (code 208200000X). The practice location is 10293 N Meridian St, Suite 200, Indpls, IN 46290. The NPI number 1407914567 was assigned on December 4, 2006 and the record was last updated on June 27, 2013.

The authorized official for this organization is Dr. Joseph J Fata, Owner.

Frequently asked questions

What is the NPI number of Renaissance Plastic Surgery PC?

The NPI number is 1407914567.

What is the phone number of Renaissance Plastic Surgery PC?

The phone number listed for the practice location is (317) 575-9152.

Where is Renaissance Plastic Surgery PC located?

10293 N Meridian St, Suite 200, Indpls, IN 46290.

What is the taxonomy code for Renaissance Plastic Surgery PC?

The primary taxonomy code is 208200000X – Plastic Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.