OCC MED SOURCE – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1538126693

OCC MED SOURCE is a healthcare provider. based in Cleveland, Ohio. specializing in Pain Medicine (Physical Medicine & Rehabilitation) Physician. The NPI Number for OCC MED SOURCE is 1538126693

Main info

Organization
Name
OCC MED SOURCE
NPI
1538126693
Phone
(330) 548-0080
Address
PO BOX 951971
Authorized Official
KELLY ANN SEMANCIK ADMINISTRATIVE DIRECTOR
Enumeration Date
1 May 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for OCC MED SOURCE

  • PO BOX 951971

    CLEVELAND, OH 441930021

    Phone: (330) 548-0080

    Fax: (330) 548-0085

    Type: Mailing

  • 174, Currie Hall Parkway, Jordan Court Apartments, Kent, Portage County, Ohio, 44240, United States

    STE D

    KENT, OH 442404387

    Phone: (330) 548-0086

    Fax: (330) 548-0085

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44193)

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Reviews

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Frequently asked questions

Does OCC MED SOURCE share an NPI with anyone else?
NPI numbers are unique to each provider or organization — OCC MED SOURCE uses 1538126693.
Can I rely on OCC MED SOURCE being an active provider?
As of the registry snapshot, OCC MED SOURCE is marked active.
What taxonomy line describes OCC MED SOURCE?
For research purposes, treat OCC MED SOURCE as Pain Medicine (Physical Medicine & Rehabilitation) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is OCC MED SOURCE based?
OCC MED SOURCE is tied to Cleveland, Ohio in the data we show; additional addresses may exist on the full record.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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