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WESTERN RESERVE PROFESS NPI 1356308407


NPI Information

NPI: 1356308407
Provider Name: WESTERN RESERVE PROFESS

Doing Business As: WESTERN RESERVE SPINE & PAIN INSTITUTE

Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
307 W MAIN ST
KENT, OH
ZIP 44240
Phone: (330) 677-3628
Get Directions

WESTERN RESERVE PROFESS is a pain medicine physical medicine rehabilitation in Kent, OH. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. WESTERN RESERVE PROFESS NPI is 1356308407. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Western Reserve Spine & Pain Institute.

The provider's business location address is:

307 W MAIN ST
KENT, OH
ZIP 44240-400
Phone: (330) 677-3628
Fax: (330) 677-3626

The provider's authorized official is Kelly Ann Semancik .
The authorized official title is Administrative Director and has the following contact phone number (330) 677-3628.

The enumeration date for this NPI number is 5/1/2006 and was last updated on 10/24/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111NX0800XChiropractorOrthopedicNo
2208100000XPhysical Medicine & RehabilitationNo
32081P2900XPhysical Medicine & RehabilitationPain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12082866MEDICAIDOHIO
20251070MEDICAIDOHIO
34066821MEDICARE PINOHIO
412991MEDICARE PINOHIO
54133101MEDICARE PINOHIO
62311331MEDICAIDOHIO
72374434MEDICAIDOHIO
8P88268MEDICARE UPINOHIO
9U30664MEDICARE UPINOHIO
10H84167MEDICARE UPINOHIO
114089809MEDICARE PINOHIO
124086482MEDICARE PINOHIO
134069412MEDICARE UPINOHIO
14MO0705996MEDICARE ID-TYPE UNSPECIFIEDOHIOMEDICARE PROVIDER
159283485MEDICARE PINOHIO
164180451MEDICARE PINOHIO
174148851MEDICARE PINOHIO
18G83617MEDICARE UPINOHIO
194085673MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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