RENAISSANCE PLASTIC SURGERY PLLC
NPI 1154342350
Plastic Surgery in Paducah, KY

Q: What is Renaissance Plastic Surgery PLLC's NPI number?

The NPI number for Renaissance Plastic Surgery PLLC is 1154342350. It was assigned to this organization in the NPPES registry on July 22, 2006.

Q: What is Renaissance Plastic Surgery PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since July 22, 2006

2601 KENTUCKY AVE, STE 401, PADUCAH, KY 42003(270) 444-8200(270) 444-8398 Get Directions Write a Review

NPPES record last updated: December 3, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Renaissance Plastic Surgery Pllc NPPES

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

RENAISSANCE PLASTIC SURGERY PLLC (NPI 1154342350) is a healthcare organization registered as a plastic surgery in Paducah, Kentucky and active in the NPI registry since July 2006. The organization lists Daniel M Tkach, Owner, as its authorized official.

NPPES Registry Identity

NPI1154342350

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameRENAISSANCE PLASTIC SURGERY PLLC

Location Address2601 KENTUCKY AVE, STE 401Paducah, KY 42003-3827

Mailing Address2601 Kentucky Ave, Ste 401Paducah, KY 42003 · (270) 444-8200

Phone(270) 444-8200

Fax(270) 444-8398

Organization SubpartNo

Authorized OfficialDaniel M TkachOwner · (270) 444-8200

Enumeration DateJuly 22, 2006

Last NPPES UpdateDecember 3, 2010

✔ NPI 1154342350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedSurgery · Surgery of the HandTaxonomy 2086S0105X

Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X

2601 KENTUCKY AVE, Paducah, KY 42003

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Other Identifiers 2

Medicare ID-Type Unspecified6421KY

Medicaid65907685KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

BELINDA JENKINS

Nurse Practitioner (Family)

2601 KENTUCKY AVE, SUITE 301
PADUCAH, KY 42003

McCracken County (270) 759-4098

BAPTIST HEALTHCARE SYSTEM INC

Pharmacy (Community/Retail Pharmacy)

2601 KENTUCKY AVE, MEDICAL PARK 1, SUITE 101
PADUCAH, KY 42003

McCracken County (270) 575-5870

DR. BRADLEY B MCELROY M.D.

Internal Medicine (Cardiovascular Disease)

2601 KENTUCKY AVE, SUITE 301
PADUCAH, KY 42003

McCracken County (270) 575-3113

ASHLEY C JENKS APRN

Nurse Practitioner (Family)

2601 KENTUCKY AVE, SUITE 301
PADUCAH, KY 42003

McCracken County (270) 575-3113

WESTERN KENTUCKY HEART & CHEST SURGERY

Thoracic Surgery (Cardiothoracic Vascular Surgery)

2601 KENTUCKY AVE, STE 300
PADUCAH, KY 42003

McCracken County (270) 443-5564

DR. MARTIN RAINS M.D.

Internal Medicine (Interventional Cardiology)

2601 KENTUCKY AVE, SUITE 300
PADUCAH, KY 42003

McCracken County (270) 575-3113

DR. CARL M JOHNSON M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

2601 KENTUCKY AVE, STE 300
PADUCAH, KY 42003

McCracken County (270) 443-5564

WESTERN BAPTIST MEDICAL VENTURES INC

Clinic/Center (Primary Care)

2601 KENTUCKY AVE, SUITE 103
PADUCAH, KY 42003

McCracken County (270) 443-4311

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 Plastic Surgery PLLC's NPI number?

The NPI number for Renaissance Plastic Surgery PLLC is 1154342350. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Renaissance Plastic Surgery PLLC located?

Renaissance Plastic Surgery PLLC is located at 2601 Kentucky Ave Ste 401, Paducah, KY 42003. The listed phone number is (270) 444-8200.

What is Renaissance Plastic Surgery PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Renaissance Plastic Surgery PLLC was last updated on December 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.