Organization Active NPI

Frank a Rezk

  • Durable Medical Equipment & Medical Supplies
  • Huntingdon, PA
National Provider Identifier
1154790640
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
3000009280 Issued in PA
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

Updated by the provider on Jul 21, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
152805OtherPAUNISON
0017226640002MedicaidPA
1505986OtherPAGATEWAY
040020700OtherPADOL
297884OtherPAHIGHMARK
1535665OtherPAUMWA

Other names 1

  • Penn Home Medical Supply Co., LLC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.