UNIVERSITY HOSPITALS MEDICAL GROUP, INC. (NPI# 1386955961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386955961 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY HOSPITALS MEDICAL GROUP, INC. |
| Practice Address |
44 Blaine Ave Suite B-83100 Bedford OH 44146-2709 |
| Mailing Address |
24701 Euclid Ave 3rd Floor Euclid OH 44117-1714 |
| Practice Telephone | 2168443192 |
| Mailing Telephone | 2163836616 |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-06-29 |
| 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 | 207T00000X | Neurological Surgery | OH | Allopathic & Osteopathic Physicians | |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
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 |
44 BLAINE AVE SUITE B-83100 |
| City | BEDFORD |
| State | OH |
| Zip Code | 44146-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881670396 | Mary Beth Manning | Emergency Medicine | 44 Blaine Ave, Bedford, OH 44146-2709 | 2005-12-16 |
| 1356997811 | Sharita Lachelle Tedder-edwards | Nurse Practitioner | 44 Blaine Ave, Bedford, OH 44146-2709 | 2019-08-12 |
| 1902466675 | James Karl Novotny Jr. | Physician Assistant | 44 Blaine Ave, Bedford, OH 44146-2709 | 2019-06-16 |
| 1649735051 | Barbara Edocs-strayer | Pharmacist | 44 Blaine Ave, Bedford, OH 44146-2709 | 2019-02-11 |
| 1205306370 | Mark Fondriest | Pharmacist | 44 Blaine Ave, Bedford, OH 44146-2709 | 2018-11-30 |
| 1275003964 | Christina M. Rebic | Nurse Practitioner | 44 Blaine Ave, Bedford, OH 44146-2709 | 2018-11-26 |
| 1992270680 | Uh Regional Hospitals | Pharmacy | 44 Blaine Ave, Attn: Pharmacy, Bedford, OH 44146-2709 | 2018-10-09 |
| 1154879203 | Wayne Snyder Jr. | Nurse Practitioner | 44 Blaine Ave, Bedford, OH 44146-2709 | 2016-09-19 |
| 1053795195 | Uh Regional Hospitals | Physician Assistant | 44 Blaine Ave, Bedford, OH 44146-2709 | 2015-07-18 |
| 1497149587 | Tonnette Jones-ollison | Nurse Practitioner | 44 Blaine Ave, Bedford, OH 44146-2709 | 2015-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861959629 | Donna Stevens | Counselor | 855 Lincoln Blvd, Bedford, OH 44146 | 2019-02-27 |
| 1265901136 | Ohio Dental Team LLC | Dentist | 7690 First Place, Bldg D, Suite E, Oakwood, OH 44146 | 2018-11-20 |
| 1609357276 | Laylah Allen | Community Health Worker | 91 Forest Dr, Bedford, OH 44146 | 2018-08-22 |
| 1427577782 | Katrina Allen | Social Worker | 6118 Eaton Ct., Bedford Hts, OH 44146 | 2017-09-18 |
| 1538686878 | Stephanie Frankel | Registered Nurse | 26364 Bluebird Cove, Bedford, OH 44146 | 2017-08-28 |
| 1790206738 | Agape Home Health Agency | Home Health | 50 Woodrow Avenue, Bedford, OH 44146 | 2017-06-29 |
| 1609300060 | Carlesha Embrey | Home Health Aide | 6269 Sparrowhawk Way, Bedford, OH 44146 | 2017-04-12 |
| 1548627987 | Nicolette Walker | Licensed Practical Nurse | 91 Thames Avenue, Bedford, OH 44146 | 2016-01-15 |
| 1992189872 | B-trice Home Health Agency LLC | Home Health | 5311 Northfield Road, Suite 202, Bedford, OH 44146 | 2015-07-10 |
| 1659774438 | Chitaqua Jackson | Licensed Practical Nurse | 860 Broadway Ave, Bedford, OH 44146 | 2014-10-07 |
| Find all providers in zip 44146 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689985038 | North Texas Movement Disorders Institute, Inc | Psychiatry & Neurology | 2004 Bedford Rd, Suite 100, Bedford, TX 76021-7011 | 2010-06-30 |
| 1588759401 | Hamid Moayad | Psychiatry & Neurology | 2612 B Harwood Rd, Bedford, TX 76137 | 2006-10-04 |
| 1023119336 | Mid-cities Neurology Associates | Psychiatry & Neurology | 1305 Airport Fwy Ste 205, Bedford, TX 76021-6606 | 2006-09-26 |
| 1437252772 | Usha Walia | Psychiatry & Neurology | 2719 Northrdge Dr, Suite 107, Bedford, TX 76021-4142 | 2006-09-05 |
| 1285671578 | Robert Frank Richardson Jr. | Psychiatry & Neurology | 88 Center Rd Ste 230, Bedford, OH 44146-2708 | 2006-06-02 |
| 1982604427 | Valery N Lipenko | Psychiatry & Neurology | 1604 Hospital Pkwy Ste 200, Bedford, TX 76022-6930 | 2005-07-27 |
| 1952304743 | James Marcellus Barry Jr. | Psychiatry & Neurology | 1305 Airport Fwy, Ste 205, Bedford, TX 76021-6606 | 2005-05-24 |
| 1629381041 | Sandeep Singh Kahlon | Psychiatry & Neurology | 1305 Airport Fwy Ste 205, Bedford, TX 76021 | 2010-07-15 |
| 1891944617 | Sharique Aslam Ansari | Psychiatry & Neurology | 1305 Airport Fwy, Suite 205, Bedford, TX 76021-6605 | 2008-09-17 |
| 1952591059 | Srirekha Maddukuri | Psychiatry & Neurology | 1305 Airport Fwy, Ste 205, Bedford, TX 76021-6605 | 2007-07-26 |
| Find all providers in BEDFORD | ||||
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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.