OrganizationActive
Occmed Source, LLC
NPI 1003076431 · Family Medicine Physician · Kent, OH
Provider details
- NPI number
- 1003076431
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gregory Moten, Medical Director(330) 548-0086
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
174 Currie Hall Pkwy
Suite D
Kent, OH 44240-4387
Phone: (330) 548-0086
Fax: (330) 548-0085
Street-level locationGet directions
Mailing address
174 Currie Hall Pkwy
Kent, OH 44240-4387
Registry dates
- Enumerated
- 2008-06-10
- Last updated
- 2008-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.