UNIVERSITY HOSPITALS MEDICAL GROUP,INC (NPI# 1720142284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720142284 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY HOSPITALS MEDICAL GROUP,INC |
| Practice Address |
5850 Landerbrook Dr Mayfield Hts OH 44124-6531 |
| Mailing Address |
5910 Landerbrook Dr Suite 250 Mayfield Hts OH 44124-6508 |
| Practice Telephone | 4406845829 |
| Practice Fax Number | 4404491555 |
| Mailing Telephone | 4406845829 |
| Mailing Fax Number | 4404491555 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LARRY D MCELROY (VP FINANCE) |
| Authorized Official Telephone | 2169833175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699839936 | University Hospitals Medical Group,inc | Clinic/Center | 4212 State Road Rt 306, Willoughby, OH 44094 | 2006-12-21 |
| 1750445227 | University Hospitals Medical Group,inc | Clinic/Center | 895 S Broadway, Geneva, OH 44041-9146 | 2006-12-20 |
| 1871794073 | University Hospitals Medical Group,inc | Optometrist | 29001 Cedar Rd, Ste 203, Lyndhurst, OH 44124-4062 | 2007-05-29 |
| 1588728026 | University Hospitals Medical Group,inc | Clinic/Center | 24755 Chagrin Blvd, Beachwood, OH 44122-5682 | 2006-12-20 |
| Street Address |
5850 LANDERBROOK DR |
| City | MAYFIELD HTS |
| State | OH |
| Zip Code | 44124-6531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295053288 | University Hospitals Medical Group, Inc. | Psychiatry & Neurology | 5850 Landerbrook Dr, Suite 300, Mayfield Hts, OH 44124-6531 | 2010-05-14 |
| 1356673149 | University Hospitals Medical Group, Inc. | Medical Genetics | 5850 Landerbrook Dr, Mayfield Hts, OH 44124-6531 | 2010-02-04 |
| 1053649491 | University Hospitals Medical Group, Inc. | Psychiatry & Neurology | 5850 Landerbrook Dr, Suite 220, Mayfield Hts, OH 44124-6531 | 2009-11-23 |
| 1326183369 | Zina Becker | Physician Assistant | 5850 Landerbrook Dr, Mayfield Hts, OH 44124-6531 | 2007-02-20 |
| 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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| 1962986372 | Shannon Jap Md LLC | Clinic/Center | 5040 Forest Dr Ste 210, New Albany, OH 43054-8166 | 2018-09-20 |
| Find all providers with the same taxonomy | ||||
| City | MAYFIELD HTS |
| Zip Code | 44124 |
Please comment or provide details below to improve the information on UNIVERSITY HOSPITALS MEDICAL GROUP,INC.
| 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.