UNIVERSITY HOSPITALS MEDICAL GROUP (NPI# 1417011941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417011941 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY HOSPITALS MEDICAL GROUP |
| Practice Address |
960 Clague Rd Suite 2460 Westlake OH 44145-1582 |
| Mailing Address |
3605 Warrensville Center Rd 1st Floor, Msc9152 Shaker Heights OH 44122-5203 |
| Practice Telephone | 2168441000 |
| Practice Fax Number | 2162866299 |
| Mailing Telephone | 2162866296 |
| Mailing Fax Number | 2162866341 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2009-11-06 |
| Authorized Official Name | LARRY D MCELROY (V.P. FINANCE) |
| Authorized Official Telephone | 2169833175 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY HOSPITALS HEALTH SYSTEM, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2691903 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366776346 | University Hospitals Medical Group | Optometrist | 1611 S Green Rd, South Euclid, OH 44121-4128 | 2009-09-24 |
| 1144452509 | University Hospitals Medical Group | Optometrist | 5778 Darrow Rd, Lower Level, Hudson, OH 44236-3808 | 2009-08-19 |
| 1417187824 | University Hospitals Medical Group | Optometrist | 895 S Broadway, Geneva, OH 44041-9146 | 2009-07-20 |
| 1720216237 | University Hospitals Medical Group | Optometrist | 11100 Euclid Ave, Suite 3200, Cleveland, OH 44106-1716 | 2009-06-24 |
| 1265669196 | University Hospitals Medical Group | Optometrist | 5850 Landerbrook Dr, Suite 306, Mayfield Heights, OH 44124-6531 | 2009-06-18 |
| 1568605228 | University Hospitals Medical Group | Optometrist | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2009-04-10 |
| 1548403587 | University Hospitals Medical Group | Anesthesiology | 5850 Landerbrook Dr, Suite 240, Mayfield Heights, OH 44124-6531 | 2009-04-07 |
| 1275776213 | University Hospitals Medical Group | Ophthalmology | 4212 State Route 306, Willoughby, OH 44094 | 2009-04-07 |
| 1285877225 | University Hospitals Medical Group | Anesthesiology | 950 Clague Rd, Bldg B, Westlake, OH 44145-1503 | 2009-04-07 |
| 1205990595 | University Hospitals Medical Group | Clinic/Center | 1611 S Green Rd, Suite 237, South Euclid, OH 44121-4128 | 2006-12-20 |
| Street Address |
960 CLAGUE RD SUITE 2460 |
| City | WESTLAKE |
| State | OH |
| Zip Code | 44145-1582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790798668 | University Hospitals Management Services Organization Inc | Clinic/Center | 960 Clague Rd, Suite 2200, Westlake, OH 44145-1582 | 2006-08-14 |
| 1235420720 | University Hospitals Medical Group, Inc | Urology | 960 Clague Rd, Suite 2420, Westlake, OH 44145-1582 | 2011-05-02 |
| 1407161110 | University Hospitals Medical Group, Inc. | Nuclear Medicine | 960 Clague Rd, Westlake, OH 44145-1582 | 2010-08-18 |
| 1437462892 | University Hospitals Medical Group, Inc. | Medical Genetics | 960 Clague Rd, Suite 1600, Westlake, OH 44145-1582 | 2010-07-14 |
| 1114247780 | University Hospitals Medical Group, Inc. | Psychiatry & Neurology | 960 Clague Rd, Suite 3120, Westlake, OH 44145-1582 | 2010-06-07 |
| 1215257712 | University Hospitals Medical Group, Inc | Internal Medicine | 960 Clague Rd, Suite 2300, Westlake, OH 44145-1582 | 2010-06-07 |
| 1386962371 | University Hospitals Medical Group, Inc. | Obstetrics & Gynecology | 960 Clague Rd, Suite 2410, Westlake, OH 44145-1582 | 2010-05-14 |
| 1295052959 | University Hospitals Medical Group, Inc | Internal Medicine | 960 Clague Rd, Suite 1200, Westlake, OH 44145-1582 | 2010-04-21 |
| 1063737161 | University Hospitals Medical Group, Inc | Radiology | 960 Clague Rd, Suite 1300, Westlake, OH 44145-1582 | 2010-03-31 |
| 1437474533 | University Hospitals Medical Group, Inc | Anesthesiology | 960 Clague Rd, Suite 2470, Westlake, OH 44145-1582 | 2010-03-31 |
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| 1326557836 | Tiffany Manrodt | Social Worker | 24500 Center Ridge Road Bldg 4, #120, Westlake, OH 44145 | 2017-09-27 |
| 1639620792 | Stacy Ryan | Speech-Language Pathologist | 3057 Holly Lane, Westlake, OH 44145 | 2016-10-24 |
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| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669598082 | University Hospitals Cleveland Medical Center | Clinic/Center | 960 Clague Rd, Suite 2200, Westlake, OH 44145-1582 | 2007-03-21 |
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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.