UNIVERSITY HOSPITALS GEAUGA MEDICAL CENTER (NPI# 1780762120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780762120 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY HOSPITALS GEAUGA MEDICAL CENTER |
| Other Organization Name | UNIVERSITY HOSPITALS GEAUGA MEDICAL CENTER - BHU |
| Practice Address |
13207 Ravenna Rd Chardon OH 44024-7032 |
| Mailing Address |
3605 Warrensville Center Rd Mailstop Msc 9150 Shaker Heights OH 44122-5203 |
| Practice Telephone | 2167678793 |
| Practice Fax Number | 2167678778 |
| Mailing Telephone | 2167678793 |
| Mailing Fax Number | 2167678778 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2017-02-03 |
| Authorized Official Name | MR. MICHAEL VEHOVEC (VP & CORPORATE CONTROLLER) |
| Authorized Official Telephone | 2167678729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| University Hospitals Geauga Medical Center - BHU | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003346834 | University Hospitals Geauga Medical Center | Clinic/Center | 3315 N Ridge Rd E Ste 700a, Ashtabula, OH 44004-4300 | 2017-06-14 |
| 1073989687 | University Hospitals Geauga Medical Center | General Acute Care Hospital | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2015-08-18 |
| 1962886002 | University Hospitals Geauga Medical Center | Physician Assistant | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2015-07-18 |
| 1285724476 | University Hospitals Geauga Medical Center | General Acute Care Hospital | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2006-10-16 |
| Street Address |
13207 RAVENNA RD |
| City | CHARDON |
| State | OH |
| Zip Code | 44024-7032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982608394 | Rachael Maxine Lerman | Pharmacist | 13207 Ravenna Rd, Pharmacy Services, Chardon, OH 44024-7032 | 2005-06-13 |
| 1427656420 | Sarah Nicole Blair | Internal Medicine | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2020-10-12 |
| 1699386565 | Taylor Baum | Pharmacist | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2020-08-13 |
| 1578173225 | Jessica Uhl | Pharmacy | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2020-08-07 |
| 1568008159 | Sarah Knowles | Clinical Nurse Specialist | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2019-11-19 |
| 1457996043 | Laurie Catherine Bruening | Nurse Practitioner | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2019-11-07 |
| 1881247898 | Nicole Guist | Pharmacist | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2019-07-18 |
| 1295395648 | Krzysztof Ozga | Pharmacist | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2019-06-18 |
| 1346704285 | Chad William Crouch | Nurse Anesthetist, Certified Registered | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2019-01-24 |
| 1295207769 | Joshua Mark Fegan | Nurse Anesthetist, Certified Registered | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2018-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992336770 | Amanda Nicole Nelson | Technician, Other | 133 Up Main St, Chardon, OH 44024 | 2020-01-30 |
| 1679067011 | Janai Marshae Seng | Dentist | 401 South Street #3a, Chardon, OH 44024 | 2018-06-19 |
| 1376036475 | Kasandra Leigh Chapman | Social Worker | 12941 Ravenna Road, Chardon, OH 44024 | 2018-06-13 |
| 1275068652 | Danielle Tilton | Nurse Practitioner | 531 Fifth Ave, Chardon, OH 44024 | 2017-04-24 |
| 1881057040 | Erin Marie Moore | Counselor | 203 Main St., Chardon, OH 44024 | 2016-04-04 |
| 1649689886 | Hope Anne Super | Speech-Language Pathologist | 100 7th Av Suite 255, Chardon, OH 44024 | 2014-08-12 |
| 1740600022 | Elisha Tzvi Fredman | Student in an Organized Health Care Education/Training Program | 13207 Chardon Road, Ravenna, OH 44024 | 2014-04-24 |
| 1083039309 | Jamie Delvecchio | Family Medicine | 150 7th Ave Ste 200, Chardon, OH 44024 | 2014-02-24 |
| 1174947212 | Frank Scarano | Psychologist | 470 Center Street, Chardon, OH 44024 | 2014-02-10 |
| 1659706497 | Jamie Henderson | Physical Therapy Assistant | 9348 South Brown Rd, Chardon, OH 44024 | 2013-09-12 |
| Find all providers in zip 44024 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
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|---|---|---|---|---|
| 1023630761 | Winter Spring Health Services | Psychiatric Unit | 13509 Highlandview Ave, Cleveland, OH 44135-1622 | 2020-05-16 |
| 1447814942 | Bluestone Child and Adolescent Psychiatric Hospital | Psychiatric Unit | 2575 S. Belvoir Blvd., University Heights, OH 44118 | 2019-04-30 |
| 1093256059 | Usaf | Psychiatric Unit | 418 Shrewsbury St, Holland, OH 43528-8568 | 2017-03-10 |
| 1235493990 | Mifflin Youth Group | Psychiatric Unit | 1688 Schrock Rd, Columbus, OH 43229-1500 | 2012-06-27 |
| 1851547392 | Ipg Rs LLC | Psychiatric Unit | 17872 Lincoln Hwy, Middle Point, OH 45863-9700 | 2008-08-15 |
| 1649441817 | Western Ohio Psychiatric Institute, LLC | Psychiatric Unit | 601 Edwin Moses Boulevard, Dayton, OH 45408 | 2008-03-17 |
| 1073568994 | Windsor Hospital | Psychiatric Unit | 115 E Summit St, Chagrin Falls, OH 44022-2711 | 2006-05-23 |
| 1457314502 | Medical University of Ohio At Toledo | Psychiatric Unit | 3000 Arlington Ave # Ms 1166, Toledo, OH 43614-2595 | 2006-04-10 |
| 1598765000 | Defiance Hospital Inc. | Psychiatric Unit | 1200 Ralston Ave, Defiance, OH 43512-1396 | 2005-07-26 |
| 1053944967 | University Hospitals Cleveland Medical Center | Psychiatric Unit | 5805 Euclid Ave Ste 100, Cleveland, OH 44103-3715 | 2020-02-19 |
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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.