UNIVERSITY HOSPITALS MEDICAL GROUP (NPI# 1548403587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548403587 |
Entity Type | Organization |
Organization Name | UNIVERSITY HOSPITALS MEDICAL GROUP |
Practice Address |
5850 Landerbrook Dr Suite 240 Mayfield Heights OH 44124-6531 |
Mailing Address |
3605 Warrensville Center Rd Msc 9152 Shaker Heights OH 44122 |
Practice Telephone | 2162866299 |
Practice Fax Number | 2162866341 |
Mailing Telephone | 2162866299 |
Mailing Fax Number | 2162866341 |
Enumeration Date | 2009-04-07 |
Last Update Date | 2009-06-17 |
Authorized Official Name | LARRY MCELROY (VP) |
Authorized Official Telephone | 2167678717 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
Allopathic & Osteopathic Physicians | ||
N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians | ||
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
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 |
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 |
1417011941 | University Hospitals Medical Group | Otolaryngology | 960 Clague Rd, Suite 2460, Westlake, OH 44145-1582 | 2006-12-20 |
1205990595 | University Hospitals Medical Group | Clinic/Center | 1611 S Green Rd, Suite 237, South Euclid, OH 44121-4128 | 2006-12-20 |
Street Address |
5850 LANDERBROOK DR SUITE 240 |
City | MAYFIELD HEIGHTS |
State | OH |
Zip Code | 44124-6531 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366523961 | Carolyn Barkley Moes | Advanced Practice Midwife | 5850 Landerbrook Dr, Suiite 300, Mayfield Heights, OH 44124-6531 | 2006-10-18 |
1669945374 | Renee Cooper | Dietitian, Registered | 5850 Landerbrook Dr, Mayfield Heights, OH 44124-6531 | 2019-01-04 |
1265669196 | University Hospitals Medical Group | Optometrist | 5850 Landerbrook Dr, Suite 306, Mayfield Heights, OH 44124-6531 | 2009-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104470509 | Marian Rae Barton | Physician Assistant | 6092 Mayfield Rd, Mayfield Heights, OH 44124 | 2019-07-25 |
1831669860 | Tameka D. Weaver | Home Health Aide | 1408 Golden Gate Blvd, Mayfield Hts, OH 44124 | 2018-12-03 |
1508371238 | Jamila Shafawn Hardy | Counselor | 1320 Washington Blvd, Cleveland, OH 44124 | 2017-12-04 |
1134664899 | Sergio Watson | Licensed Practical Nurse | 1131 Irene Rd, Lyndhurst, OH 44124 | 2017-01-04 |
1164894424 | Carrie Lynn Rodick | Registered Nurse | 1212 Blanchester, Lyndhurst, OH 44124 | 2015-10-27 |
1205205804 | Mary Rose Moore | Nurse Practitioner | 1443 Richmond Road, Lyndhurst, OH 44124 | 2015-09-24 |
1154717551 | Hongfei Di | Family Medicine | 5187 Mayfield Rd Ste 102, Lyndhurst, OH 44124 | 2015-04-13 |
1558753376 | Taj Amjad Khan | Pediatrics | 32810 Creekside Drive, Pepper Pike, OH 44124 | 2015-03-03 |
1902297195 | Marcellus Gliha | Hearing Instrument Specialist | 1438 S.o.m. Center Rd, #101, Mayfield Heights, OH 44124 | 2015-02-10 |
1194122051 | Doug Blecher | Counselor | 5512 Kilbourne Dr, Cleveland, OH 44124 | 2014-11-20 |
Find all providers in zip 44124 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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City | MAYFIELD HEIGHTS |
Zip Code | 44124 |
Please comment or provide details below to improve the information on UNIVERSITY HOSPITALS MEDICAL GROUP.
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.