RENAISSANCE MEDICAL MANAGEMENT LLC
NPI 1194583963
Radiology - Diagnostic Radiology in Edmond, OK

Q: What is Renaissance Medical Management LLC's NPI number?

The NPI number for Renaissance Medical Management LLC is 1194583963. It was assigned to this organization in the NPPES registry on March 7, 2024.

Q: What is Renaissance Medical Management LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Active since March 07, 2024

3509 FRENCH PARK DR STE E, EDMOND, OK 73034(405) 285-6901(405) 285-6902 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Renaissance Medical Management Llc NPPES

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

RENAISSANCE MEDICAL MANAGEMENT LLC (NPI 1194583963) is a healthcare organization registered as a diagnostic radiology in Edmond, Oklahoma and active in the NPI registry since March 2024. The organization lists Jeffrey Lynn Watts, Owner, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1194583963

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameRENAISSANCE MEDICAL MANAGEMENT LLC

Location Address3509 FRENCH PARK DR STE EEdmond, OK 73034-7291

Mailing Address941 W I-35 Frontage Road Ste 116 Pmb 203Edmond, OK 73034 · (405) 285-6901 · Fax (405) 285-6902

Phone(405) 285-6901

Fax(405) 285-6902

Organization SubpartNo

Authorized OfficialJeffrey Lynn WattsOwner, Medical Doctor · (405) 205-7424

Enumeration DateMarch 7, 2024

NPPES CertifiedMarch 7, 2024

✔ NPI 1194583963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

3509 FRENCH PARK DR STE E, Edmond, OK 73034

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. JEFFREY L. WATTS M.D.

Radiology (Diagnostic Radiology)

3509 FRENCH PARK DR STE E
EDMOND, OK 73034

Oklahoma County (405) 285-6901

FOUNDATION RADIOLOGY GROUP PC

Radiology (Diagnostic Radiology)

3509 FRENCH PARK DR STE E
EDMOND, OK 73034

Oklahoma County (405) 285-6901

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 Management LLC's NPI number?

The NPI number for Renaissance Medical Management LLC is 1194583963. It was assigned to this organization in the NPPES registry on March 7, 2024.

Where is Renaissance Medical Management LLC located?

Renaissance Medical Management LLC is located at 3509 French Park Dr Ste E, Edmond, OK 73034. The listed phone number is (405) 285-6901.

What is Renaissance Medical Management LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Renaissance Medical Management LLC was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.