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

Q: 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. The provider is doing business as Western Reserve Spine & Pain Institute.

Q: 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.

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: August 09, 2026.

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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.

SHAWNA LEE HARRIS APRN

Nurse Practitioner

307 W MAIN ST
KENT, OH 44240

Portage County (330) 344-7846

JAMIE LEISTER PHYSICAL THERAPIST

Physical Therapist

307 W MAIN ST
KENT, OH 44240

Portage County (330) 677-5053

JAUDAT MAHMOOD

Pain Medicine (Interventional Pain Medicine)

307 W MAIN ST
KENT, OH 44240

Portage County (800) 941-6672

DAVID F FANTELLI M.D.

Internal Medicine

307 W MAIN ST, SUITE B
KENT, OH 44240

Portage County (330) 678-7782

PRIMARY CARE ASSOC OF N

Internal Medicine

307 W MAIN ST, SUITE B
KENT, OH 44240

Portage County (330) 678-7782

MRS. TIFFANY M STAUFFER CNP

Nurse Practitioner (Family)

307 W MAIN ST
KENT, OH 44240

Portage County (800) 941-6672

MICHAEL J SHANAFELT D.O.

Internal Medicine

307 W MAIN ST, STE B
KENT, OH 44240

Portage County (330) 678-7782

BRIANNA IDELL

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. The provider is doing business as Western Reserve Spine & Pain Institute.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.