Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renaissance Plastic Surgery PC

Organization Plastic Surgery Physician · NPI 1407914567

Renaissance Plastic Surgery PC is a Plastic Surgery Physician in Indpls, Indiana. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10293 N Meridian St Ste 200
Indpls, IN 46290
Phone: (317) 575-9152
Fax: (317) 575-9281
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1407914567
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Fata — Owner · (317) 575-9152
NPI enumeratedDecember 4, 2006
Last updated in NPPESJune 27, 2013
Mailing address10293 N Meridian St, Suite 200, Indpls, IN 46290