MEDICARE: RENAISANCE FAMILY PRACTICE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	068624	OTHER	PA	HIGHMARK DIVISION

General Provider Information

NPI Number	:	1679508543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENAISANCE FAMILY PRACTICE, INC

Provider Business Mailing Address
First Line	:	600 WATERCREST WAY
Second Line	:	SUITE 630
City	:	CHESWICK
State	:	PA
Zip	:	15024-1370
Country	:	US
Telephone Number	:	724-274-9420
Fax Number	:	724-274-9370

Provider Business Practice Location Address
First Line	:	619 MOUNT ROYAL BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15223-1225
Country	:	US
Telephone Number	:	412-487-4422
Fax Number	:	412-487-6930

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MARIE ZANOTTI
Credential	:
Telephone Number	:	724-274-9451

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1639118219 — DR. TED C SCHAFFER MD
Practice Location Address:

619 MOUNT ROYAL BLVD
PITTSBURGH, PA
15223-1225

Practice Phone: 412-487-4422
Practice Fax: 412-487-7838

1912946518 — DR. ERIC A FRANKEL MD
Practice Location Address:

619 MOUNT ROYAL BLVD
PITTSBURGH, PA
15223-1225

Practice Phone: 412-487-4422
Practice Fax: 412-487-6930

1144232406 — AARON SMUCKLER
Practice Location Address:

619 MOUNT ROYAL BLVD
PITTSBURGH, PA
15223-1225

Practice Phone: 412-487-4422
Practice Fax:

1578645768 — DR. MICHAEL PATRICK CLARK SR. D.C.
Practice Location Address:

633 MOUNT ROYAL BLVD
PITTSBURGH, PA
15223-1225

Practice Phone: 412-486-3355
Practice Fax: 412-486-3355

1760524912 — RENAISSANCE FAMILY PRACTICE, INC.
Practice Location Address:

619 MOUNT ROYAL BLVD
PITTSBURGH, PA
15223-1225

Practice Phone: 412-487-4422
Practice Fax:

1962687178 — JENNIFER FIERLE
Practice Location Address:

619 MOUNT ROYAL BLVD , SUITE 1004
PITTSBURGH, PA
15223-1225

Practice Phone: 412-487-4422
Practice Fax:

Directions to “RENAISANCE FAMILY PRACTICE, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.