Western Reserve Professional Group in Kent - Pain Medicine
Western Reserve Professional Group - NPI 1912094145
Western Reserve Professional Group is a Pain Medicine in Kent, Ohio. Western Reserve Professional Group practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Western Reserve Professional Group is 1912094145. The last update date is 2020-08-22.
Western Reserve Professional Group's current location address is 307 W Main St, Kent, Ohio. You can contact this provider via phone number 3306773628 and fax number 3306773626. The mailing address for Western Reserve Professional Group is 307 W Main St, Kent, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Western Reserve Professional Group |
|---|---|
| Address | 307 W Main St, Kent, Ohio |
| Phone Number | 3306773628 |
| Fax Number | 3306773626 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Semancik Kelly |
| Telephone Number | 3306773628 |
NPI Number Detail
| NPI Number | 1912094145 |
|---|---|
| Provider Enumeration Date | 2006-10-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 307 W Main St |
|---|---|
| City | Kent |
| State | Ohio (OH) |
| Post Code | 442402400 |
| Phone Number | 3306773628 |
| Fax Number | 3306773626 |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 2084P2900X |
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Definition: A neurologist, child neurologists or psychiatrist 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 |
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What is the unique provider identifier assigned to Western Reserve Professional Group?
The Western Reserve Professional Group has been issued the NPI (National Provider Identifier) 1912094145 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Western Reserve Professional Group's facilities are situated?
The facilities of Western Reserve Professional Group are physically located at the following address: 307 W Main St, Kent, OH, 442402400.
What is Western Reserve Professional Group's area of expertise and its corresponding taxonomy classification?
The Western Reserve Professional Group's field of specialization is Pain Medicine, and it falls under the taxonomy code 2084P2900X, which categorizes healthcare providers based on their areas of practice.
On what date did the Western Reserve Professional Group receive its 1912094145 assignment from the Centers for Medicare & Medicaid Services?
The Western Reserve Professional Group was assigned its 1912094145 by the Centers for Medicare & Medicaid Services on 2006-10-09.
As of what date was the information regarding Western Reserve Professional Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Western Reserve Professional Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.