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WESTERN RESERVE PROFESSIONAL GROUP NPI 1588745632


NPI Information

NPI: 1588745632
Provider Name: WESTERN RESERVE PROFESSIONAL GROUP
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
5700 DARROW ROAD
SUITE 109
KENT, OH
ZIP 44240
Phone: (330) 677-3628
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WESTERN RESERVE PROFESSIONAL GROUP 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 PROFESSIONAL GROUP NPI is 1588745632. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5700 DARROW ROAD
SUITE 109
KENT, OH
ZIP 44240
Phone: (330) 677-3628
Fax: (330) 677-3626

The provider's authorized official is Kelly 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 10/17/2006 and was last updated on 8/22/2020.


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
12081P2900XPhysical Medicine & RehabilitationPain MedicineYes

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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