UNIVERSITY PRIMARY CARE PRACTICES INC (NPI# 1114056124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114056124 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY PRIMARY CARE PRACTICES INC |
| Other Organization Name | UHMP - GEAUGA INTERNAL MEDICINE |
| Practice Address |
13170 Ravenna Rd Ste 112 Chardon OH 44024-7022 |
| Mailing Address |
Po Box 8792 Belfast ME 04915-8792 |
| Practice Telephone | 4402869599 |
| Practice Fax Number | 4402862837 |
| Mailing Telephone | 4402869588 |
| Mailing Fax Number | 4402862837 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2010-04-09 |
| Authorized Official Name | STEVE RIDDLE (DIRECTOR OF BILLING SERVICES) |
| Authorized Official Telephone | 2163836480 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UHMP - GEAUGA INTERNAL MEDICINE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457581563 | University Primary Care Practices Inc | Clinic/Center | 5901 E Royalton Rd Ste 1400b, Broadview Heights, OH 44147-3532 | 2009-07-23 |
| 1528295466 | University Primary Care Practices Inc | Clinic/Center | 7500 Auburn Rd # 1200, Concord Twp, OH 44077-9176 | 2009-06-18 |
| 1629227368 | University Primary Care Practices Inc | Psychologist | 8819 Commons Blvd # 101, Twinsburg, OH 44087-2177 | 2008-09-18 |
| 1972772390 | University Primary Care Practices Inc | Family Medicine | 11110 Kinsman Rd # 2, Newbury, OH 44065 | 2008-02-29 |
| 1801073523 | University Primary Care Practices Inc | Orthopaedic Surgery | 890 W Main St # 202, Geneva, OH 44041 | 2008-01-24 |
| 1811185143 | University Primary Care Practices Inc | Internal Medicine | 8185 E Washington St # 1s, Chagrin Falls, OH 44023-4574 | 2007-10-11 |
| 1942402565 | University Primary Care Practices Inc | Obstetrics & Gynecology | 2210 S Ridge Rd E, Ashtabula, OH 44004-4459 | 2007-06-05 |
| 1861694234 | University Primary Care Practices Inc | Podiatrist | 18599 Lake Shore Blvd Ste 600, Euclid, OH 44119 | 2007-06-05 |
| 1821290842 | University Primary Care Practices Inc | Pediatrics | 26250 Euclid Ave Ste 201, Euclid, OH 44132-3691 | 2007-06-01 |
| 1780885004 | University Primary Care Practices Inc | Orthopaedic Surgery | 50 Blaine Ave # 2300, Bedford, OH 44146-2709 | 2007-05-31 |
| Street Address |
13170 RAVENNA RD STE 112 |
| City | CHARDON |
| State | OH |
| Zip Code | 44024-7022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124111273 | Erika A Mulligan | Internal Medicine | 13170 Ravenna Rd Ste 112, Chardon, OH 44024-7022 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992336770 | Amanda Nicole Nelson | Technician, Other | 133 Up Main St, Chardon, OH 44024 | 2020-01-30 |
| 1679067011 | Janai Marshae Seng | Dentist | 401 South Street #3a, Chardon, OH 44024 | 2018-06-19 |
| 1376036475 | Kasandra Leigh Chapman | Social Worker | 12941 Ravenna Road, Chardon, OH 44024 | 2018-06-13 |
| 1275068652 | Danielle Tilton | Nurse Practitioner | 531 Fifth Ave, Chardon, OH 44024 | 2017-04-24 |
| 1881057040 | Erin Marie Moore | Counselor | 203 Main St., Chardon, OH 44024 | 2016-04-04 |
| 1649689886 | Hope Anne Super | Speech-Language Pathologist | 100 7th Av Suite 255, Chardon, OH 44024 | 2014-08-12 |
| 1740600022 | Elisha Tzvi Fredman | Student in an Organized Health Care Education/Training Program | 13207 Chardon Road, Ravenna, OH 44024 | 2014-04-24 |
| 1083039309 | Jamie Delvecchio | Family Medicine | 150 7th Ave Ste 200, Chardon, OH 44024 | 2014-02-24 |
| 1174947212 | Frank Scarano | Psychologist | 470 Center Street, Chardon, OH 44024 | 2014-02-10 |
| 1659706497 | Jamie Henderson | Physical Therapy Assistant | 9348 South Brown Rd, Chardon, OH 44024 | 2013-09-12 |
| Find all providers in zip 44024 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124111273 | Erika A Mulligan | Internal Medicine | 13170 Ravenna Rd Ste 112, Chardon, OH 44024-7022 | 2006-10-02 |
| 1639274038 | Rafik Massouh | Internal Medicine | 13207 Ravenna Road, Chardon, OH 44024 | 2006-09-13 |
| 1154314797 | Agustus A Beck | Internal Medicine | 100 Sevenh Ave, Suite 222, Chardon, OH 44024 | 2005-08-30 |
| 1770951501 | Continuum Healthcare Group | Internal Medicine | 775 South St, Chardon, OH 44024-2800 | 2015-09-10 |
| 1720392988 | Mustafa Abas | Internal Medicine | 13221 Ravenna Rd, Ste 12, Chardon, OH 44024-9047 | 2010-07-29 |
| 1326200387 | Charles Yenwei Peng | Internal Medicine | 13221 Ravenna Rd, Ste 12, Chardon, OH 44024-9047 | 2008-06-30 |
| 1356502074 | Christ-roi Cheres | Internal Medicine | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2008-06-25 |
| 1487830527 | Natalie S Evans | Internal Medicine | 13207 Ravenna Rd, Chardon, OH 44024 | 2008-01-19 |
| 1902995731 | Janet O'hara | Internal Medicine | 100 Seventh Ave Ste 111, Chardon, OH 44024-7802 | 2006-10-12 |
| 1093741662 | Community Hospitalist, LLC | Internal Medicine | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2006-06-24 |
| Find all providers in CHARDON | ||||
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| 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.