UNIVERSITY HOSPITALS MEDICAL GROUP, INC. (NPI# 1265751366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265751366 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY HOSPITALS MEDICAL GROUP, INC. |
| Practice Address |
2061 Cornell Rd Cleveland OH 44106-3808 |
| Mailing Address |
24701 Euclid Ave 3rd Floor Euclid OH 44117-1714 |
| Practice Telephone | 2168447700 |
| Mailing Telephone | 2163836616 |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2010-05-28 |
| Authorized Official Name | LARRY MCELROY (CONTROLLER) |
| Authorized Official Telephone | 2163836756 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
OH | Allopathic & Osteopathic Physicians | |
| N | 207ZI0100X |
Pathology Specialization: Immunopathology |
OH | Allopathic & Osteopathic Physicians | |
| N | 208000000X | Pediatrics | OH | Allopathic & Osteopathic Physicians | |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
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 |
| 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 |
| 1265710669 | University Hospitals Medical Group, Inc. | Internal Medicine | 11100 Euclid Ave, Suite 3400, Cleveland, OH 44106-1716 | 2011-08-02 |
| Street Address |
2061 CORNELL RD |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44106-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347706 | Adeeb Oweidat | Anesthesiology | 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 | 2020-08-18 |
| 1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
| 1306466974 | Ho Jun Lee | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 | 2020-04-23 |
| 1528687837 | Shaleeka Cornelius | Student in an Organized Health Care Education/Training Program | 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 | 2020-04-16 |
| 1598393175 | Mikdat Ulas | Student in an Organized Health Care Education/Training Program | 111000 Euclid Avenue, Cleveland, OH 44106 | 2020-03-30 |
| 1790335651 | Michelle Clark | Home Health Aide | 1794 E 87th St, Cleveland, OH 44106 | 2019-09-12 |
| 1881246783 | Oziel Valdez Sanchez | Student in an Organized Health Care Education/Training Program | 11900 Euclid Ave, Cleveland, OH 44106 | 2019-07-10 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1023677259 | Moeen Al Weshah | Student in an Organized Health Care Education/Training Program | 9601 Chester Ave # 239j3, Cleveland, OH 44106 | 2019-06-11 |
| Find all providers in zip 44106 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1891930624 | Katherine Marie Holman | Internal Medicine | 9500 Euclid Ave # G21, Cleveland, OH 44195-0001 | 2008-12-08 |
| 1629262175 | Lulette Tricia Carandang Bravo | Internal Medicine | Cleveland Clinic Foundation Dept of Infectious Disease, S32, 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2007-08-28 |
| 1407049166 | Cyndee Cruz Miranda | Internal Medicine | 9500 Euclid Ave # Deskg-21, Cleveland, OH 44195-0001 | 2007-08-24 |
| 1801933163 | Ronald E Blanton | Internal Medicine | Louis Stokes Cleveland Va Medical Center, 10701 East Boulevard, Cleveland, OH 44106 | 2007-01-30 |
| 1780693010 | Jose Enrique Poblete | Internal Medicine | 2829 Euclid Ave, Cleveland, OH 44115-2413 | 2006-08-05 |
| 1679924260 | Francisco Jesus Marco Canosa | Internal Medicine | 9500 Euclid Ave # G21, Cleveland, OH 44195-0001 | 2016-06-25 |
| 1780068031 | Khalid Dousa Abdulrahman | Internal Medicine | 11100 Euclid Ave, University Hospitals Case Medical Center, Cleveland, OH 44106-1716 | 2015-07-16 |
| 1356729354 | Vinh Dang | Internal Medicine | 9500 Euclid Ave # G21, Cleveland, OH 44195-1702 | 2015-05-11 |
| 1922413384 | George Yendewa | Internal Medicine | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2014-06-24 |
| 1114331576 | Patricia Bartley | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195 | 2014-06-13 |
| Find all providers in CLEVELAND | ||||
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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.