National Provider Identifier Database

RENAISSANCE PLASTIC SURGERY PC
Plastic Surgery

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.


Contact Information

RENAISSANCE PLASTIC SURGERY PC
10293 N MERIDIAN ST
SUITE 200
INDIANAPOLIS, IN46290
Phone: 317-575-9152
Fax: 317-575-9281
Website:
Specialty Taxonomy Code
* Plastic Surgery 208200000X

* Indicates primary specialty

NPI Profile & details for RENAISSANCE PLASTIC SURGERY PC

NPI Number 1407914567
Legal business name
LBN
RENAISSANCE PLASTIC SURGERY PC
Authorized official JOSEPH FATA - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/04/2006
Last updated 06/27/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • IN Medicaid: 100120400A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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