OrganizationActive
Renaissance Medical Spa, L.L.C.
NPI 1275865446 · Family Medicine Physician · Seymour, IN
Provider details
- NPI number
- 1275865446
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Snook, Owner(812) 524-9222
- License
- 01047137 (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1414 E Tipton St
Seymour, IN 47274-3533
Phone: (812) 524-9222
Fax: (812) 524-9777
Street-level locationGet directions
Mailing address
1414 E Tipton St
Seymour, IN 47274-3533
Registry dates
- Enumerated
- 2010-02-12
- Last updated
- 2010-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.