David Mark Rafalko, M.D.

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

MD016925E Issued in PA

Practice address

1301 Riverside Dr
Beaver, PA 15009-3116

Phone

(724) 728-7800

Fax

(724) 728-8115

NPI assigned

Jul 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Beaver Head and Neck Surgical Associates, LTD.

  • Otolaryngology Physician
  • Beaver, PA
  • NPI 1831217553
  Authorized official Same address or phone

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

{
    "created_epoch": "1120262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1558368704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 RIVERSIDE DR",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150093116",
            "telephone_number": "724-728-7800",
            "fax_number": "724-728-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 RIVERSIDE DR",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150093116",
            "telephone_number": "724-728-7800",
            "fax_number": "724-728-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFALKO",
        "first_name": "DAVID",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-02",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "PA",
            "license": "MD016925E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Scot Pulleo
• Michael Punk, CRNA
• Paul A Pupi, M.D.
• Xingyi Que, M.D.
• Olivia Dawn Rabak, RDN, LDN
• Anna Rastatter, LCSW
• Annmarie Ray, M.D.
• Dale Reckless, PT
• Joan I Reis, LPC
• Renal Treatment Centers Mid Atlantic Inc. (Beaver Valley Dialysis)

• Otolaryngology/Facial Plastic Surgery Physician in Beaver, PA
• Providers in Beaver, PA by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.