UNIVERSITY HOSPITALS MEDICAL GROUP, INC (NPI# 1467781724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467781724 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY HOSPITALS MEDICAL GROUP, INC |
| Practice Address |
11100 Euclid Ave 1800 Cleveland OH 44106-1716 |
| Mailing Address |
3605 Warrensville Center Rd 1st Floor Shaker Hts OH 44122-5203 |
| Practice Telephone | 2168441000 |
| Mailing Telephone | 2162866260 |
| Mailing Fax Number | 2162866341 |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2009-12-16 |
| 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 | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
OH | Allopathic & Osteopathic Physicians | |
| N | 207R00000X | Internal Medicine | OH | Allopathic & Osteopathic Physicians | |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
OH | Allopathic & Osteopathic Physicians | |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2691903 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043503477 | University Hospitals Medical Group, Inc | Internal Medicine | 1335 Corporate Dr, Hudson, OH 44236-4432 | 2011-05-18 |
| 1235420720 | University Hospitals Medical Group, Inc | Urology | 960 Clague Rd, Suite 2420, Westlake, OH 44145-1582 | 2011-05-02 |
| 1215257712 | University Hospitals Medical Group, Inc | Internal Medicine | 960 Clague Rd, Suite 2300, Westlake, OH 44145-1582 | 2010-06-07 |
| 1497072185 | University Hospitals Medical Group, Inc | Radiology | 5778 Darrow Rd, Suite 103, Hudson, OH 44236-3808 | 2010-04-21 |
| 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 |
| 1508181603 | University Hospitals Medical Group, Inc | Internal Medicine | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2010-03-31 |
| 1942525043 | University Hospitals Medical Group, Inc | Surgery | 3909 Orange Pl, 3300, Beachwood, OH 44122-4478 | 2010-03-31 |
| 1437474533 | University Hospitals Medical Group, Inc | Anesthesiology | 960 Clague Rd, Suite 2470, Westlake, OH 44145-1582 | 2010-03-31 |
| 1518282615 | University Hospitals Medical Group, Inc | Radiology | 8819 Commons Blvd, Twinsburg, OH 44087-2177 | 2010-03-31 |
| Street Address |
11100 EUCLID AVE 1800 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44106-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899927 | Joel H. Elconin | Radiology | 11100 Euclid Ave, Ireland/seidman Radiation Oncology, Cleveland, OH 44106 | 2005-05-23 |
| 1386245207 | Dalal Hamad A Alsaggabi | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-11-06 |
| 1922609809 | Melanie Wolf | Registered Nurse | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-11-05 |
| 1093313918 | Aryn Rose Pecoraro | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-10-13 |
| 1366058331 | Harun Abukar | Registered Nurse | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-16 |
| 1205442290 | Jessica Regan | Dietitian, Registered | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-16 |
| 1740895960 | Sara Lyn Stefano | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-14 |
| 1063026052 | Meredith Barker | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-07 |
| 1124631114 | Luis Augusto Palma Dallan | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-08-28 |
| 1023621216 | Stephanie Casto | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-08-26 |
| Find all providers in the same location | ||||
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1982099370 | Michael Kurin | Internal Medicine | 11100 Euclid Ave Ste 247, Cleveland, OH 44106-1716 | 2015-04-02 |
| 1295027878 | Andrew Blum | Internal Medicine | 10701 East Blvd # 1e-242e, Cleveland, OH 44106-1702 | 2011-05-13 |
| 1326370784 | East Tennessee Gastroenterology, Pllc | Internal Medicine | 2404 Chambliss Ave Nw, Cleveland, TN 37311-3848 | 2010-02-09 |
| 1851508196 | Katarina Brenkusova Greer | Internal Medicine | 11100 Euclid Ave # Wrn5066, Cleveland, OH 44106-1716 | 2007-05-17 |
| 1396844684 | James R. Brown | Internal Medicine | 6001 Woodland Ave, Cleveland, OH 44104-2762 | 2006-09-22 |
| 1588630891 | Larry D Shuster | Internal Medicine | 1060 Peerless Xing Nw Ste 200, Cleveland, TN 37312-3785 | 2006-02-27 |
| 1154304574 | William F Buchner, Jr. | Internal Medicine | 2415 Chambliss Ave Nw, Cleveland, TN 37311-3882 | 2005-11-21 |
| 1598755464 | Mazen Issa | Internal Medicine | 7255 Old Oak Blvd Ste C412, Cleveland, OH 44130-3331 | 2005-10-24 |
| 1114915337 | Christine Y Lee | Internal Medicine | 9500 Euclid Avenue, Cleveland, OH 44195 | 2005-10-11 |
| 1417503582 | Sara El Ouali | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2019-08-14 |
| 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.