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WESTERN RESERVE SPINE & PAIN INSTITUTE
NPI 1356308407
Physical Medicine & Rehabilitation - Pain Medicine in Kent, OH

Active since May 01, 2006
307 W MAIN ST, KENT, OH 44240(330) 677-3628(330) 677-3626 Get Directions Write a Review

NPPES record last updated: October 24, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Western Reserve Spine & Pain Institute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTERN RESERVE SPINE & PAIN INSTITUTE (NPI 1356308407) is a healthcare organization registered as a pain medicine in Kent, Ohio and active in the NPI registry since May 2006. The organization lists Kelly Ann Semancik, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1356308407
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameWESTERN RESERVE PROFESS
Location Address307 W MAIN STKent, OH 44240-2400
Mailing AddressPo Box 951971Cleveland, OH 44193-0021 · (330) 548-0080 · Fax (330) 548-0084
Phone(330) 677-3628
Fax(330) 677-3626
Organization SubpartNo
Authorized OfficialKelly Ann SemancikAdministrative Director · (330) 677-3628
Enumeration DateMay 1, 2006
Last NPPES UpdateOctober 24, 2007
✔ NPI 1356308407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition

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.

Also ListedChiropractor · OrthopedicTaxonomy 111NX0800X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
307 W MAIN ST, Kent, OH 44240
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Other Names 1

Doing Business AsWestern Reserve Spine & Pain Institute

Other Identifiers 19

Medicaid2082866OH
Medicaid0251070OH
Medicare PIN4066821OH
Medicare PIN12991OH
Medicare PIN4133101OH
Medicaid2311331OH
Medicaid2374434OH
Medicare UPINP88268OH
Medicare UPINU30664OH
Medicare UPINH84167OH
Medicare PIN4089809OH
Medicare PIN4086482OH
Medicare UPIN4069412OH
Medicare ID-Type UnspecifiedMO0705996OH · Medicare Provider
Medicare PIN9283485OH
Medicare PIN4180451OH
Medicare PIN4148851OH
Medicare UPING83617OH
Medicare PIN4085673OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID F FANTELLI M.D.
Internal Medicine
307 W MAIN ST, SUITE B
KENT, OH 44240
Portage County (330) 678-7782
KEVIN C MINEO M.D.
Internal Medicine
307 W MAIN ST, SUITE B
KENT, OH 44240
Portage County (330) 678-7782
JAMIE LEISTER PHYSICAL THERAPIST
Physical Therapist
307 W MAIN ST
KENT, OH 44240
Portage County (330) 677-5053
PRIMARY CARE ASSOC OF N
Internal Medicine
307 W MAIN ST, SUITE B
KENT, OH 44240
Portage County (330) 678-7782
NATHAN R LUCARDIE M.D.
Internal Medicine
307 W MAIN ST
KENT, OH 44240
Portage County (330) 678-7782
DOLLY MINNS LMT
Massage Therapist
307 W MAIN ST, SUITE C
KENT, OH 44240
Portage County (330) 677-3628
ELIZABETH MALISH LMT
Massage Therapist
307 W MAIN ST, SUITE C
KENT, OH 44240
Portage County (330) 677-3628
GLANVILLE & HUSSING, O.D., INC
Optometrist
307 W MAIN ST
KENT, OH 44240
Portage County (330) 673-7538

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Western Reserve Profess's NPI number?

The NPI number for Western Reserve Profess is 1356308407. It was assigned to this organization in the NPPES registry on May 1, 2006.

Where is Western Reserve Profess located?

Western Reserve Profess is located at 307 W Main St, Kent, OH 44240. The listed phone number is (330) 677-3628.

What is Western Reserve Profess's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

When was this NPI record last updated?

The NPPES record for Western Reserve Profess was last updated on October 24, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.