Active NPI
Barry R Reznick, MD
- Neurology Physician
- Beaver, PA
National Provider Identifier
1568468775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD035538E
- Practice address
- 1200 Sharon Rd Ste 201
Beaver, PA 15009-3148 - Phone
- (724) 774-0398
- Fax
- (724) 775-5635
- NPI assigned
- Jun 22, 2005
- Last updated
- Aug 16, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD035538E | PA | Primary |
Addresses
Primary practice location
1200 Sharon Rd Ste 201
Beaver, PA 15009-3148
Mailing address
1200 Sharon Rd Ste 201
Beaver, PA 15009-3148
Phone (724) 774-0398
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001046167 | Medicaid | PA | |
| 0206008000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Valley-Upmc Multispecialty Group Inc | Neurology | Past | Accepting new patients |
| Valley Neurological Associates P C | Neurology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
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- Monaca, PA
- NPI 1467839001
-
- Neurology Physician
- Monaca, PA
- NPI 1922060474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502841600000",
"number": "1568468775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 SHARON RD STE 201",
"city": "BEAVER",
"state": "PA",
"postal_code": "150093148",
"telephone_number": "724-774-0398",
"fax_number": "724-775-5635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 SHARON RD STE 201",
"city": "BEAVER",
"state": "PA",
"postal_code": "150093148",
"telephone_number": "724-774-0398",
"fax_number": "724-775-5635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REZNICK",
"first_name": "BARRY",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2017-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD035538E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001046167",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0206008000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaver, PA
- Annmarie Ray, M.D.
- Dale Reckless, PT
- Joan I Reis, LPC
- Renal Treatment Centers Mid Atlantic Inc. (Beaver Valley Dialysis)
- Barbara Repic, RN
- Gretchen Ricchino, LPC
- Eric S Ringer, P.T.
- Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 02277)
- Robert C Knapp MD LLC (Robert C Knapp, M.D.)
- Robert M. Stiegel, MD LTD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.