Active NPI
Frank a Rezk
- Durable Medical Equipment & Medical Supplies
- Huntingdon, PA
National Provider Identifier
1154790640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 3000009280
- Legal business name
- FRANK A REZK
- Practice address
- 900 Bryan St
Suite 6a
Huntingdon, PA 16652-2413 - Phone
- (814) 506-9920
- Fax
- (814) 506-9921
- NPI assigned
- Sep 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Frank Rezk
- Title
- Owner/President
- Phone
- (814) 471-0627
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 3000009280 | PA | Primary |
Addresses
Primary practice location
900 Bryan St
Suite 6a
Huntingdon, PA 16652-2413
Mailing address
657 Industrial Park Rd
PO Box 337
Ebensburg, PA 15931-4111
Phone (814) 471-0627
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152805 | Other | PA | UNISON |
| 0017226640002 | Medicaid | PA | |
| 1505986 | Other | PA | GATEWAY |
| 040020700 | Other | PA | DOL |
| 297884 | Other | PA | HIGHMARK |
| 1535665 | Other | PA | UMWA |
Other names 1
- Penn Home Medical Supply Co., LLC
National Provider Directory
National Provider DirectoryLocations
1075 Franklin St
Johnstown, PA 15905
Phone (814) 254-4218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469059200000",
"number": "1154790640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "657 INDUSTRIAL PARK RD",
"address_2": "PO BOX 337",
"city": "EBENSBURG",
"state": "PA",
"postal_code": "159314111",
"telephone_number": "814-471-0627",
"fax_number": "814-471-0639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 BRYAN ST",
"address_2": "SUITE 6A",
"city": "HUNTINGDON",
"state": "PA",
"postal_code": "166522413",
"telephone_number": "814-506-9920",
"fax_number": "814-506-9921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANK A REZK",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-15",
"last_updated": "2016-07-21",
"status": "A",
"authorized_official_last_name": "REZK",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "814-471-0627",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "PA",
"license": "3000009280",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "152805",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017226640002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1505986",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOL",
"identifier": "040020700",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "297884",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1535665",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Penn Home Medical Supply Co., LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntingdon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.