RENUVA XTREMITY LLC NPI 1205305430

NPI Information

NPI: 1205305430
Provider Name: RENUVA XTREMITY, LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2900 KIRBY PKWY
STE 5
MEMPHIS, TN
ZIP 38119
Phone: (901) 309-8898
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RENUVA XTREMITY, LLC is a foot and ankle surgery podiatrist in Memphis, TN. RENUVA XTREMITY, LLC NPI is 1205305430. The provider is registered as an organization entity type.

The provider's business location address is:

2900 KIRBY PKWY
STE 5
MEMPHIS, TN
ZIP 38119
Phone: (901) 309-8898
Fax: (901) 309-5908

The provider's authorized official is Nathan Lucas .
The authorized official title is Podiatrist and has the following contact phone number (901) 309-8898.

The enumeration date for this NPI number is 11/16/2018 and was last updated on 4/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QP2000X	Clinic/Center	Physical Therapy	No
2	291U00000X	Clinical Medical Laboratory		No
3	293D00000X	Physiological Laboratory		No
4	332B00000X	Durable Medical Equipment & Medical Supplies		No
5	335E00000X	Prosthetic/Orthotic Supplier		No
6	213ES0103X	Podiatrist	Foot & Ankle Surgery	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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