Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Renaissance Plastic Surgery PC

Organization Plastic Surgery Physician · NPI 1407914567

Renaissance Plastic Surgery PC provides Plastic Surgery Physician services 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.

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Practice location Address checks out

10293 N Meridian St Ste 200
Indpls, IN 46290 Not confirmed with CMS for 13 years — call before visiting
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