Restore Medical LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

RESTORE MEDICAL LLC

Practice address

990 Lexington Ave
Mansfield, OH 44907-2246

Phone

(419) 756-6111

Fax

(419) 756-2549

NPI assigned

May 12, 2021

Organization subpart

No

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

Authorized official

Name

Jeff Zaika

Title

Manager

Phone

(419) 756-6111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erika Kristin Hopkins, FNP-BC

  • Family Nurse Practitioner
  • Lexington, OH
  • NPI 1477191666
  Medicare reassignment NPD
• Kelly Hriesik, CNP

  • Nurse Practitioner
  • Mansfield, OH
  • NPI 1205308657
  Medicare reassignment NPD
• Brian Ballitch, DC

  • Chiropractor
  • Mansfield, OH
  • NPI 1790219129
  NPD
• Jeffrey Paul Zaika, D.C.

  • Chiropractor
  • Mansfield, OH
  • NPI 1508997081
  NPD

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1720662976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 LEXINGTON AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072246",
            "telephone_number": "419-756-6111",
            "fax_number": "419-756-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 LEXINGTON AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072246",
            "telephone_number": "419-756-6111",
            "fax_number": "419-756-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "ZAIKA",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "419-756-6111"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Remy
• Edward Dom Renda, R.D.
• Renee Wooster
• Rachel Christine Rentzel
• Jonathan Reskof, OTR/L
• Results Chiropractic Rehabilitation Center, Inc.
• Bryan S Reuer
• La'Shaun Monique Reuer, SWT
• Tiffany Jeanette Reuer, LPN
• Tracy A Reveglia, LPN

• General Practice Physician in Mansfield, OH
• Providers in Mansfield, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.