RENAISSANCE MEDICAL SPA, LLC
NPI 1043357726
Clinic/Center - Primary Care in Seymour, IN

Active since January 31, 2007
1414 E TIPTON ST, SEYMOUR, IN 47274(812) 524-9222(812) 524-9777 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renaissance Medical Spa, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENAISSANCE MEDICAL SPA, LLC (NPI 1043357726) is a healthcare organization registered as a primary care in Seymour, Indiana and active in the NPI registry since January 2007. The organization lists John Palmer Snook, Owner, as its authorized official.

NPPES Registry Identity

NPI1043357726
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameRENAISSANCE MEDICAL SPA, LLC
Location Address1414 E TIPTON STSeymour, IN 47274-3533
Mailing Address1414 E Tipton StSeymour, IN 47274-3533 · (812) 524-9222 · Fax (812) 524-9777
Fax(812) 524-9777
Organization SubpartNo
Authorized OfficialJohn Palmer SnookOwner · (812) 524-9222
Enumeration DateJanuary 31, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1043357726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in IN · 01047137
1414 E TIPTON ST, Seymour, IN 47274

Other Identifiers 2

Other067386IN · Siho
Other000000352813IN · Anthem

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1414 E TIPTON ST
SEYMOUR, IN 47274
Family Medicine
1414 E TIPTON ST
SEYMOUR, IN 47274
Physician Assistant
1414 E TIPTON ST
SEYMOUR, IN 47274
Clinic/Center (Primary Care)
1414 E TIPTON ST
SEYMOUR, IN 47274

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renaissance Medical Spa, LLC's NPI number?

The NPI number for Renaissance Medical Spa, LLC is 1043357726. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is Renaissance Medical Spa, LLC located?

Renaissance Medical Spa, LLC is located at 1414 E Tipton St, Seymour, IN 47274. The listed phone number is (812) 524-9222.

What is Renaissance Medical Spa, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Renaissance Medical Spa, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.