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

Renaissance Specialty Hospital of Central Indiana Operations Co , LLC

Organization Family Medicine Physician · NPI 1710012505

Renaissance Specialty Hospital of Central Indiana Operations Co , LLC is a Family Medicine Physician in Muncie, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2401 W University Ave 8th Fl North Tower
Muncie, IN 47303-3428
Phone: (765) 282-5822
Fax: (765) 289-5170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Hospital (primary) Taxonomy 282E00000X · Licence 060042861 (IN)
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Nurse Practitioner Taxonomy 363L00000X
Acute Care Nurse Practitioner Taxonomy 363LA2100X

Record details

NPI number1710012505
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Wesp — Administrator · (765) 282-5822
Other names Integra Specialty Hospital
NPI enumeratedFebruary 22, 2007
Last updated in NPPESMay 13, 2010
Mailing address2401 W University Ave, 8th Floor North Tower, Muncie, IN 47303-3428

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