Active NPI
Denise Holocker, PA
- Physician Assistant
- Brookpark, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50002323
- Practice address
- 15900 Snow Rd
Ste 200
Brookpark, OH 44142 - Phone
- (216) 676-1234
- Fax
- (216) 676-5876
- NPI assigned
- Nov 20, 2006
- Last updated
- Mar 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50002323 | OH | Primary |
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 1
- Denise Rezek
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1730 W 25TH St
Cleveland, OH 44113-3108
Phone (440) 826-1822
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50002323 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Hospital | Current | Accepting new patients | |
| Horizon Orthopedic, Inc | Past | Accepting new patients | |
| University Hospitals Cleveland Medical Center | Past | Accepting new patients |
Locations
15900 Snow Rd
Brook Park, OH 44142
Phone (216) 265-3454
15900 Snow Rd
Ste 200
Brookpark, OH 44142
Phone (216) 265-0772
1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Cleveland, OH
- NPI 1962437947
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1194763045
-
- Orthopaedic Surgery Physician
- Brookpark, OH
- NPI 1790873131
-
dba Bolwell Health Center Pharmacy
- Community/Retail Pharmacy
- Cleveland, OH
- NPI 1952488108
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1194763045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1487728382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29160 CENTER RIDGE RD",
"address_2": "STE C",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441455225",
"telephone_number": "440-617-1823",
"fax_number": "440-617-0884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15900 SNOW RD",
"address_2": "STE 200",
"city": "BROOKPARK",
"state": "OH",
"postal_code": "44142",
"telephone_number": "216-676-1234",
"fax_number": "216-676-5876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLOCKER",
"first_name": "DENISE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50002323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "REZEK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brookpark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.