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RENAISSANCE PLASTIC SURGERY PC
NPI 1407914567
Plastic Surgery in Indpls, IN

Active since December 04, 2006
10293 N MERIDIAN ST, SUITE 200, INDPLS, IN 46290(317) 575-9152(317) 575-9281 Get Directions Write a Review

NPPES record last updated: June 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Renaissance Plastic Surgery Pc NPPES

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

RENAISSANCE PLASTIC SURGERY PC (NPI 1407914567) is a healthcare organization registered as a plastic surgery in Indpls, Indiana and active in the NPI registry since December 2006. The organization lists Joseph J Fata, Owner, as its authorized official.

NPPES Registry Identity

NPI1407914567
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameRENAISSANCE PLASTIC SURGERY PC
Location Address10293 N MERIDIAN ST, SUITE 200Indpls, IN 46290
Mailing Address10293 N Meridian St, Suite 200Indpls, IN 46290 · (317) 575-9152 · Fax (317) 575-9281
Phone(317) 575-9152
Fax(317) 575-9281
Organization SubpartNo
Authorized OfficialJoseph J FataOwner · (317) 575-9152
Enumeration DateDecember 4, 2006
Last NPPES UpdateJune 27, 2013
✔ NPI 1407914567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
10293 N MERIDIAN ST, Indpls, IN 46290
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Other Identifiers 3

Medicaid100120400AIN
Medicare ID-Type Unspecified198580IN
Medicare UPINA60367

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 15

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

DR. JOSEPH JOHN FATA M.D.
Surgery (Plastic and Reconstructive Surgery)
10293 N MERIDIAN ST, SUITE 200
INDIANAPOLIS, IN 46290
Hamilton County (317) 575-9152
PROFESSIONAL PSYCHOLOGICAL SERVICES
Psychologist
10293 N MERIDIAN ST, SUITE 375
INDIANAPOLIS, IN 46290
Hamilton County (317) 581-2288
DR. CORBY ALAN BUBP PH.D.
Clinical Neuropsychologist
10293 N MERIDIAN ST
INDIANAPOLIS, IN 46290
Hamilton County (317) 581-2288
DR. PATRICIA M COUVILLION PH.D.
Psychologist (Clinical)
10293 N MERIDIAN ST, SUITE 375
INDIANAPOLIS, IN 46290
Hamilton County (317) 581-2288
MARY KATHERINE DEGRELLA LCSW
Social Worker (Clinical)
10293 N MERIDIAN ST, 310
INDIANAPOLIS, IN 46290
Hamilton County (317) 550-5541
HOWARD BRUMBAUGH MD PC
Ophthalmology
10293 N MERIDIAN ST, SUITE 325
INDIANAPOLIS, IN 46290
Hamilton County (317) 575-1147
CAPTURING HOPE COUNSELING LLC
Community/Behavioral Health
10293 N MERIDIAN ST, SUITE 180
INDIANAPOLIS, IN 46290
Hamilton County (317) 682-7634
DR. ELIZABETH BUTLER VANTASSEL PH.D.
Psychologist
10293 N MERIDIAN ST, STE 180
INDIANAPOLIS, IN 46290
Hamilton County (317) 503-7548

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 PC's NPI number?

The NPI number for Renaissance Plastic Surgery PC is 1407914567. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Renaissance Plastic Surgery PC located?

Renaissance Plastic Surgery PC is located at 10293 N Meridian St Suite 200, Indpls, IN 46290. The listed phone number is (317) 575-9152.

What is Renaissance Plastic Surgery PC'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 PC was last updated on June 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.