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RENOVARE CLINIC OF NATURAL MEDICINE PA
NPI 1902974678
Chiropractor - Internist in Glendale, AZ

Active since December 01, 2006
18301 NORTH 79TH AVE, SUITE G190, GLENDALE, AZ 85308(623) 776-0206(623) 776-0282 Get Directions Write a Review

NPPES record last updated: April 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Renovare Clinic Of Natural Medicine Pa NPPES

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

RENOVARE CLINIC OF NATURAL MEDICINE PA (NPI 1902974678) is a healthcare organization registered as an internist in Glendale, Arizona and active in the NPI registry since December 2006. The organization lists Timothy Charles Gerhart, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902974678
Entity TypeOrganization
Primary Taxonomy111NI0900X
Legal Business NameRENOVARE CLINIC OF NATURAL MEDICINE PA
Location Address18301 NORTH 79TH AVE, SUITE G190Glendale, AZ 85308
Mailing Address18301 North 79th Ave, Suite G190Glendale, AZ 85308 · (623) 776-0206 · Fax (623) 776-0282
Phone(623) 776-0206
Fax(623) 776-0282
Organization SubpartNo
Authorized OfficialTimothy Charles GerhartCeo · (623) 776-0206
Enumeration DateDecember 1, 2006
Last NPPES UpdateApril 8, 2008
✔ NPI 1902974678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyChiropractor · InternistChiropractic Providers
Taxonomy Code111NI0900X
License✔ Licensed in AZ · 7243
Definition
The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease.
Also ListedChiropractorTaxonomy 111N00000X · License 7243 (AZ)
Also ListedAcupuncturistTaxonomy 171100000X · License 7243 (AZ)
18301 NORTH 79TH AVE, Glendale, AZ 85308
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Other Identifiers 1

Medicare PINZ71954

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

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 Renovare Clinic Of Natural Medicine PA's NPI number?

The NPI number for Renovare Clinic Of Natural Medicine PA is 1902974678. It was assigned to this organization in the NPPES registry on December 1, 2006.

Where is Renovare Clinic Of Natural Medicine PA located?

Renovare Clinic Of Natural Medicine PA is located at 18301 North 79th Ave Suite G190, Glendale, AZ 85308. The listed phone number is (623) 776-0206.

What is Renovare Clinic Of Natural Medicine PA's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Internist, with taxonomy code 111NI0900X.

When was this NPI record last updated?

The NPPES record for Renovare Clinic Of Natural Medicine PA was last updated on April 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.