Resurgent Medical, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

06379827 Issued in MD

Legal business name

RESURGENT MEDICAL, LLC

Practice address

626 Hanover Pike
2ND Floor
Hampstead, MD 21074-2032

Phone

(888) 314-6307

Fax

(877) 364-4421

NPI assigned

Aug 23, 2010

Last updated

Aug 23, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathleen Brady Bolesta

Title

Cfo

Phone

(888) 314-6307

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1508172073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634",
            "city": "HAMPSTEAD",
            "state": "MD",
            "postal_code": "210740634",
            "telephone_number": "888-314-6307",
            "fax_number": "877-364-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 HANOVER PIKE",
            "address_2": "2ND FLOOR",
            "city": "HAMPSTEAD",
            "state": "MD",
            "postal_code": "210742032",
            "telephone_number": "888-314-6307",
            "fax_number": "877-364-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURGENT MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "BRADY BOLESTA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "888-314-6307"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "06379827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew George Resh, DDS
• Eric Scott Resh, DDS
• James Milton Resh, D.D.S.
• Kevin Daniel Resh, DDS
• Natalie Ann Resh, CRNP
• Shawn Michael Rill, LMSW
• Rachel Robbins, MS, LAT, ATC
• Domingo A Rocha, MD
• Rudolph E. Klima Jr. D.D.S., P.a.
• Lindsay Safir, LMSW

• Durable Medical Equipment & Medical Supplies in Hampstead, MD
• Providers in Hampstead, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.