RENOVO MEDICAL GROUP
NPI 1275931982
Family Medicine - Adult Medicine in Shoreline, WA

Q: What is Renovo Medical Group's NPI number?

The NPI number for Renovo Medical Group is 1275931982. It was assigned to this organization in the NPPES registry on December 11, 2014.

Q: What is Renovo Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Active since December 11, 2014

19930 BALLINGER WAY NE, SHORELINE, WA 98155(425) 778-2220 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Renovo Medical Group NPPES

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

RENOVO MEDICAL GROUP (NPI 1275931982) is a healthcare organization registered as an adult medicine in Shoreline, Washington and active in the NPI registry since December 2014. The organization lists Cheryl Hamill, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1275931982

Entity TypeOrganization

Primary Taxonomy207QA0505X

Legal Business NameRENOVO MEDICAL GROUP

Location Address19930 BALLINGER WAY NEShoreline, WA 98155-1223

Mailing Address19930 Ballinger Way NeShoreline, WA 98155-1223 · (425) 778-2220

Phone(425) 778-2220

Organization SubpartNo

Authorized OfficialCheryl HamillOperations Manager · (425) 778-2220

Enumeration DateDecember 11, 2014

Last NPPES UpdateJune 20, 2018

✔ NPI 1275931982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X

Also ListedFamily Medicine · Sleep MedicineTaxonomy 207QS1201X

Also ListedSurgeryTaxonomy 208600000X

19930 BALLINGER WAY NE, Shoreline, WA 98155

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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.

DR. JEDEDIAH A KAUFMAN MD

Surgery