Denise Holocker, PA
Individual provider Active NPI Physician Assistant · Brookpark, OH
NPI 1487728382 · NPPES record last updated Mar 7, 2019
Key facts
- NPI
- 1487728382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 50002323 (OH)
- Practice address
- 15900 Snow Rd
Ste 200
Brookpark, OH 44142 - Phone
- (216) 676-1234
- Fax
- (216) 676-5876
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lutheran Hospital
Practice addresses (Care Compare)
1730 W 25TH St
Cleveland, OH 44113-3108
Phone (440) 826-1822
Hospital & facility affiliations
- Lutheran Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051025000449 | OH | Practitioner - Physician Assistant | 9638196108 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50002323 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Orthopedic, Inc | Past | Accepting new patients | |
| University Hospitals Cleveland Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50002323 | OH | Yes |
Addresses
Primary practice location
15900 Snow Rd
Ste 200
Brookpark, OH 44142
Mailing address
29160 Center Ridge Rd
Ste C
Westlake, OH 44145-5225
Phone (440) 617-1823
Other names
- Denise Rezek
Other providers in Brookpark, OH
- Victoria Harrold
- Elizabeth Hartland
- Healing Elements Counseling
- Hear Now Network
- Douglas Holly
- Kristy Holt
- Richard S Hong
- Rosamond Hong
- Derrick Hopperton
- Nicole Michelle Horn
All providers in Brookpark, OH · Physician Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.