RENAISSANCE WELLNESS, LLC
NPI 1922248830
Pain Medicine - Pain Medicine in Fort Myers, FL

NPI Status: Active since March 05, 2009

Contact Information

3880 COLONIAL BLVD
SUITE 2
FORT MYERS, FL
ZIP 33966
Phone: (239) 590-3883
Fax: (239) 590-3884

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  • Organization
  • Pain Medicine
  • Pain Medicine

About RENAISSANCE WELLNESS, LLC

This page provides the complete NPI Profile along with additional information for Renaissance Wellness, Llc, a provider established in Fort Myers, Florida operating as a Pain Medicine. The healthcare provider is registered in the NPI registry with number 1922248830 assigned on March 2009. The practitioner's primary taxonomy code is 208VP0000X with license number ME22595 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Konstantine K Yankopolus M.d. (President)

NPI
1922248830
Provider Name
RENAISSANCE WELLNESS, LLC
Entity Type
Organization
Location Address
3880 COLONIAL BLVD SUITE 2 FORT MYERS, FL 33966
Location Phone
(239) 590-3883
Location Fax
(239) 590-3884
Mailing Address
3880 COLONIAL BLVD SUITE 2 FORT MYERS, FL 33966
Mailing Phone
(239) 590-3883
Mailing Fax
(239) 590-3884
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-05-2009
Last Update Date
07-31-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pain Medicine Pain Medicine

Taxonomy Code
208VP0000X
Type
Allopathic & Osteopathic Physicians
License No.
ME22595
License State
FL
Taxonomy Description
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KONSTANTINE K YANKOPOLUS M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(239) 590-3883

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
D61926MEDICARE UPIN (02)FL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1922248830
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2942441686
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 4 + 4 + 1 + 6 + 8 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1922248830 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

DR. KONSTANTINE KONSTANTINE YANKOPOLUS MD

Pain Medicine

(Pain Medicine)

3880 COLONIAL BLVD
SUITE 2
FORT MYERS, FL
ZIP 33966

(239) 590-3883

T.R. DIAGNOSTICS, LLC

Physiological Laboratory

3880 COLONIAL BLVD
SUITE 1B
FORT MYERS, FL
ZIP 33966

(239) 770-6593

SIEVERT CLINIC, LLC

Chiropractor

3880 COLONIAL BLVD
SUITE 1A
FORT MYERS, FL
ZIP 33966

(239) 936-1233

GIANNA RIOS RBT

Behavior Technician

3880 COLONIAL BLVD
FORT MYERS, FL
ZIP 33966

(239) 240-5089

JONNY WARDEN SANTOS RBT-23-312323

Behavior Technician

3880 COLONIAL BLVD
FORT MYERS, FL
ZIP 33966

(561) 891-5896

KITONA MARINA FLEAGLE

Behavior Technician

3880 COLONIAL BLVD
FORT MYERS, FL
ZIP 33966

(239) 351-3715

LILIEN ABREU RODRIGUEZ

Behavior Technician

3880 COLONIAL BLVD
FORT MYERS, FL
ZIP 33966

(239) 351-3715

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922248830, enumerated in the NPI registry as an "organization" on March 05, 2009

The provider is located at 3880 Colonial Blvd Suite 2 Fort Myers, Fl 33966 and the phone number is (239) 590-3883

This medical organization specializes in Pain Medicine with taxonomy code 208VP0000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 05, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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