UNIVERSITY HOSPITALS MEDICAL GROUP, INC. (NPI# 1104153741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104153741 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY HOSPITALS MEDICAL GROUP, INC. |
| Practice Address |
9000 Mentor Ave Suite 214 Mentor OH 44060-4496 |
| Mailing Address |
3605 Warrensville Center Rd 1st Floor Shaker Hts OH 44122-5203 |
| Practice Telephone | 2168447200 |
| Mailing Telephone | 2162866260 |
| Mailing Fax Number | 2162866341 |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2009-11-03 |
| Authorized Official Name | LARRY MCELROY (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 2167678717 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | OH | Allopathic & Osteopathic Physicians | |
| Y | 208600000X | Surgery | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2691903 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689959256 | University Hospitals Medical Group, Inc. | Neurological Surgery | 1000 Auburn Dr, Beachwood, OH 44122-4317 | 2011-10-14 |
| 1265751366 | University Hospitals Medical Group, Inc. | Obstetrics & Gynecology | 2061 Cornell Rd, Cleveland, OH 44106-3808 | 2010-05-28 |
| 1033342662 | University Hospitals Medical Group, Inc. | Psychiatry & Neurology | 2181 Ambleside Road, Cleveland, OH 44106 | 2009-08-31 |
| 1770714883 | University Hospitals Medical Group, Inc. | Pediatrics | 15809 Madison Rd, Middlefield, OH 44062-8409 | 2009-08-06 |
| 1609007715 | University Hospitals Medical Group, Inc. | Family Medicine | 1 David N. Myers Pkwy., Beachwood, OH 44122 | 2009-08-06 |
| 1326316522 | University Hospitals Medical Group, Inc. | Anesthesiology | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2011-12-02 |
| 1144597105 | University Hospitals Medical Group, Inc. | Urology | 11100 Euclid Ave, Suite 2500, Cleveland, OH 44106-1716 | 2011-11-18 |
| 1679850606 | University Hospitals Medical Group, Inc. | Radiology | 1000 Auburn Dr, Suite 210, Beachwood, OH 44122-4317 | 2011-11-04 |
| 1952682171 | University Hospitals Medical Group, Inc. | Internal Medicine | 4001 Carrick Dr, Suite 140, Medina, OH 44256-5387 | 2011-09-01 |
| 1871872044 | University Hospitals Medical Group, Inc. | Radiology | 8185 E Washington St, Chagrin Falls, OH 44023-4574 | 2011-08-05 |
| Street Address |
9000 MENTOR AVE SUITE 214 |
| City | MENTOR |
| State | OH |
| Zip Code | 44060-4496 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023021995 | University Mednet Inc. | Clinic/Center | 9000 Mentor Ave, Mentor, OH 44060-4496 | 2006-08-14 |
| 1407130529 | Marie Gudz Gerecke | Advanced Practice Midwife | 9000 Mentor Ave, Ste 215, Mentor, OH 44060 | 2011-10-07 |
| 1891008256 | University Hospitals Medical Group, Inc. | Psychiatry & Neurology | 9000 Mentor Ave, Suite 209, Mentor, OH 44060-4496 | 2010-07-14 |
| 1558690818 | University Hospitals Medical Group, Inc. | Orthopaedic Surgery | 9000 Mentor Ave, Suite 100, Mentor, OH 44060-4496 | 2009-12-16 |
| 1689900904 | University Hospital Medical Group, Inc. | Anesthesiology | 9000 Mentor Ave, Mentor, OH 44060-4496 | 2009-10-21 |
| 1487770335 | University Hospitals Cleveland Medical Center | Clinic/Center | 9000 Mentor Ave, Mentor, OH 44060-4496 | 2007-03-22 |
| 1275608200 | Eileen Kilbane Gordon | Nurse Practitioner | 9000 Mentor Ave, 100, Mentor, OH 44060-4496 | 2006-11-22 |
| 1053405217 | University Primary Care Practices Inc. | Durable Medical Equipment & Medical Supplies | 9000 Mentor Ave, Mentor, OH 44060-4496 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364143 | Pamela Adams | Technician | 6079 Center St, Mentor, OH 44060 | 2019-09-10 |
| 1255800298 | Brittani Joy Lumpkin | Community/Behavioral Health | 9220 Mentor Road., Mentor, OH 44060 | 2018-11-20 |
| 1043726763 | Sharon Bollinger | Counselor | 7232 Tyler Blvd., Mentor, OH 44060 | 2017-12-18 |
| 1255863635 | Mentor Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 8151 Norton Pkwy, Mentor, OH 44060 | 2017-04-03 |
| 1144695933 | Kirsten Lorek | Specialist/Technologist | 8400 Paddock Ct, Mentor, OH 44060 | 2015-12-06 |
| 1346638848 | Darlean Williams | Licensed Practical Nurse | 6477 Center Street, Mentor High School, Mentor, OH 44060 | 2015-01-06 |
| 1316357130 | Kathryn Arnette Romo | Speech-Language Pathologist | 6451 Center Street, Mentor Exempted Village Schools, Mentor, OH 44060 | 2014-05-01 |
| 1730599705 | Marianne. P. Kostiha | Registered Nurse | 6451 Center St., Mentor Public Schools, Mentor, OH 44060 | 2014-04-30 |
| 1558788190 | Jeanne Marie Markusic | Physical Therapist | 7687 Ellington Pl, Mentor, OH 44060 | 2014-03-20 |
| 1477979391 | Center for Advanced Vein Care LLC | Emergency Medicine | 7200 Mentor Avenue, Mentor, OH 44060 | 2014-03-17 |
| Find all providers in zip 44060 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497939409 | John P. Ferron, M.d. & Timothy J. Pritchard, M.d. Inc | Surgery | 9500 Mentor Ave Suite 300, Mentor, OH 44060 | 2007-12-27 |
| 1053388637 | Gordon A. Bodzin | Surgery | 9500 Mentor Ave Ste 200, Mentor, OH 44060-8702 | 2006-03-02 |
| 1821380023 | David Meir Reznick | Surgery | 9500 Mentor Ave Ste 200, Mentor, OH 44060-8702 | 2011-05-05 |
| 1477844686 | Lake Hospital System, Inc. | Surgery | 9500 Mentor Ave, Suite 300, Mentor, OH 44060-8713 | 2011-04-21 |
| 1356661839 | Bryson Andrew Nicholson | Surgery | 9500 Mentor Ave Ste 200, Mentor, OH 44060-8702 | 2010-06-07 |
| 1952490278 | John P. Ferron | Surgery | 9500 Mentor Ave, Suite 300, Mentor, OH 44060-8713 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673839 | Omar Sallout | Surgery | 4430 N Holland Sylvania Rd Apt 4213, Toledo, OH 43623-3554 | 2020-06-11 |
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1851912935 | Comprehensive Wound Care Consultants LLC | Surgery | 5131 Beacon Hill Rd Ste 100, Columbus, OH 43228-4442 | 2020-04-30 |
| 1629603725 | Anil Vaidya | Surgery | 100 East Euclid Avenue, Cleveland, OH 44195-0001 | 2020-03-09 |
| 1205473766 | Serita Barnard | Surgery | Cleveland 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2019-12-04 |
| 1184271520 | Moska Hamidi | Surgery | 9500 Euclid Ave F20, Cleveland, OH 44195 | 2019-08-21 |
| 1760040265 | Ohio Bariatrics and Laparoscopy LLC | Surgery | 7931 Country Brook Ct, Springboro, OH 45066-8469 | 2019-05-31 |
| 1275093122 | Michael Curran | Surgery | 3140 Legacy Trce, Cincinnati, OH 45237-1724 | 2019-03-25 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1215401518 | Tina Lorenz | Surgery | 7310 Galena Ave Nw, Canal Fulton, OH 44614-8233 | 2019-01-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on UNIVERSITY HOSPITALS MEDICAL GROUP, INC..
| 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.