Gary Rezabek, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

101486.MEDS Issued in OH

Practice address

1744 Payne Ave
Cleveland, OH 44114-2910

Phone

(216) 623-6555

Fax

(216) 623-6539

NPI assigned

Mar 25, 2017

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1490400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490400000000",
    "number": "1770014235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 PAYNE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441142910",
            "telephone_number": "216-623-6555",
            "fax_number": "216-623-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 PAYNE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441142910",
            "telephone_number": "216-623-6555",
            "fax_number": "216-623-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZABEK",
        "first_name": "GARY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-25",
        "last_updated": "2017-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "101486.MEDS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tameka Reynolds
• Tanaysha Reynolds
• Tye Shae Reynolds, LSW
• Valerie Reynolds
• Jeremy Ignacio Reynoso, PT
• Melanie Jane Rezac, COTAL
• Alireza Rezaee, M.D.
• Rod Rezaee, MD
• Roya L Rezaee, M.D.
• Jax Rezakhani, MD

• Licensed Practical Nurse in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.

Verify at the official NPI Registry.