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OCCMED SOURCE LLC NPI 1003076431


NPI Information

NPI: 1003076431
Provider Name: OCCMED SOURCE, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
174 CURRIE HALL PKWY
SUITE D
KENT, OH
ZIP 44240
Phone: (330) 548-0086
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OCCMED SOURCE, LLC is a family medicine in Kent, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OCCMED SOURCE, LLC NPI is 1003076431. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

174 CURRIE HALL PKWY
SUITE D
KENT, OH
ZIP 44240-387
Phone: (330) 548-0086
Fax: (330) 548-0085

The provider's authorized official is Gregory A Moten .
The authorized official title is Medical Director and has the following contact phone number (330) 548-0086.

The enumeration date for this NPI number is 6/10/2008 and was last updated on 6/10/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily 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: 4/28/2024

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