Occ Med Source

LBN: Western Reserve Professional Group Inc
Occ Med Source is an health care organization with primary practice located at 174 Currie Hall Pkwy Ste D, Kent OH 44240-4387. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Western Reserve Professional Group Inc can be contacted via phone (330) 548-0086, or through Semancik, Kelly Ann via phone (330) 548-0080.

Contact Information

Primary practice address
174 Currie Hall Pkwy Ste D Kent OH 44240-4387
Phone: (330) 548-0086
Fax: (330) 548-0085
Website:
Map and Directions
Authorized official contact:
Name: Semancik, Kelly Ann
Phone: (330) 548-0080

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X

Profile Details

NPI number 1538126693
LBN Legal business name Western Reserve Professional Group Inc
DBA Doing business as Occ Med Source
Authorized official Semancik, Kelly Ann
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538126693 NPPES
Ohio MEDICAID 0670573

Popular Providers