WESTERN RESERVE PROFESSIONAL GROUP INC (NPI# 1699986620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699986620 |
Entity Type | Organization |
Organization Name | WESTERN RESERVE PROFESSIONAL GROUP INC |
Other Organization Name | THE SPINE & PAIN INSTITUTE |
Practice Address |
307 West Main Street Suite C Kent OH 44240-2400 |
Mailing Address |
Po Box 715479 Columbus OH 43271-5479 |
Practice Telephone | 3306773628 |
Practice Fax Number | 3306774931 |
Mailing Telephone | 3306773628 |
Mailing Fax Number | 3306774931 |
Enumeration Date | 2007-05-24 |
Last Update Date | 2014-01-15 |
Authorized Official Name | RACHELLE ANN LIGHT (OFFICE COORDINATOR) |
Authorized Official Telephone | 3306773628 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 111NX0800X |
Chiropractor Specialization: Orthopedic |
Chiropractic Providers | ||
N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0926887 | 05 | |
OH | 2675921 | 05 | |
OH | 2311331 | 05 | |
OH | 2493038 | 05 | |
OH | 2406275 | 05 | |
OH | 4085673 | 05 | |
OH | 0251070 | 05 | |
OH | 2082866 | 05 |
Other Name | Type Code |
---|---|
The Spine & Pain Institute | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538126693 | Western Reserve Professional Group Inc | Physical Medicine & Rehabilitation | 174 Currie Hall Pkwy, Ste D, Kent, OH 44240-4387 | 2006-05-01 |
Street Address |
307 WEST MAIN STREET SUITE C |
City | KENT |
State | OH |
Zip Code | 44240-2400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881201887 | Julia Repasky | Speech-Language Pathologist | 4170 Oh-43, Kent, OH 44240 | 2020-09-24 |
1811515000 | Natasha Loveridge | Speech-Language Pathologist | 1949 Oh-59, Suite 202, Kent, OH 44240 | 2020-07-14 |
1215569256 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 247 Tallmadge Rd., Kent, OH 44240 | 2020-02-07 |
1710526702 | Rebecca K Cibik | Pediatrics | 2497 State Route 59, Kent, OH 44240 | 2019-12-23 |
1073099834 | Sean Joseph Hiemstra | Case Manager/Care Coordinator | 5982 Rhodes Road Kent Ohio 44240, Kent, OH 44240 | 2018-07-16 |
1740798081 | Mason Brain Yoder | Counselor | 1025 Erin Drive, Kent, OH 44240 | 2018-01-22 |
1710405055 | Ashley Barczok | Nurse Practitioner | 5982 Rhodes Road, Kent, OH 44240 | 2017-09-07 |
1073963930 | Kimberly Ruth Griffith | Counselor | 190 Currie Hall Pkwy Ste A, Kent, OH 44240 | 2016-06-21 |
1801257456 | Ra'mone Williams | Audiologist | 717 Beryl Dr, Kent, OH 44240 | 2016-03-10 |
1730546615 | Christina Cole | Nurse Practitioner | 1675 E Main St Ste 328, Kent, OH 44240 | 2016-01-22 |
Find all providers in zip 44240 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
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. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780768820 | Western Reserve Professional Group | Physical Medicine & Rehabilitation | 401 Devon Pl, Kent, OH 44240-6482 | 2006-10-25 |
1588745632 | Western Reserve Professional Group | Physical Medicine & Rehabilitation | 5700 Darrow Road, Suite 109, Kent, OH 44240 | 2006-10-17 |
1184726903 | Ann Rosemary Crawford | Physical Medicine & Rehabilitation | 24031 104th Ave Se, Kent, WA 98030-4975 | 2006-09-02 |
1538126693 | Western Reserve Professional Group Inc | Physical Medicine & Rehabilitation | 174 Currie Hall Pkwy, Ste D, Kent, OH 44240-4387 | 2006-05-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386287936 | Novus Pain Management - Ohio LLC | Physical Medicine & Rehabilitation | 100 N Main St Ste 350, Chagrin Falls, OH 44022-2773 | 2019-10-25 |
1396218558 | Health Intrinsic Technology LLC | Physical Medicine & Rehabilitation | 41 Brookline Ave, Youngstown, OH 44505-2530 | 2019-01-09 |
1760884399 | Patrick T Boylan Md Inc | Physical Medicine & Rehabilitation | 9485 Mentor Ave Ste 203, Mentor, OH 44060-8723 | 2014-09-26 |
1750513867 | Comprehensive Pain Management & Electrodiagnostics, LLC | Physical Medicine & Rehabilitation | 80 N Portage Path, #ph7, Akron, OH 44303-1144 | 2009-08-23 |
1962654731 | James Edgar Lundeen Sr. | Physical Medicine & Rehabilitation | 26 Sandusky St, Plymouth, OH 44865-1113 | 2008-10-10 |
1679777528 | Kush Kumar Goyal | Physical Medicine & Rehabilitation | 1730 W 25th St # 2c, Center for Spine Health- Lutheran Hospital, Cleveland, OH 44113-3108 | 2007-06-13 |
1841316163 | University Primary Care Practices Inc | Physical Medicine & Rehabilitation | 50 Blaine Ave Ste 2300, Bedford, OH 44146-2709 | 2007-03-21 |
1467594986 | Tarulata M Patel | Physical Medicine & Rehabilitation | 50 Normandy Drive Suite #3, Liberty Medical Center, Painesville, OH 44077 | 2007-02-12 |
1184766602 | Maheshkumar P. Patel | Physical Medicine & Rehabilitation | 26250 Euclid Avenue, Suite 625, Euclid, OH 44132 | 2007-02-12 |
1205985967 | Southwest General Medical Group, Inc | Physical Medicine & Rehabilitation | 18780 Bagley Rd # 100, Cleveland, OH 44130-3304 | 2007-01-10 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.