UNIVERSITY HOSPITAL MEDICAL GROUP, INC. (NPI# 1881825040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881825040 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY HOSPITAL MEDICAL GROUP, INC. |
| Practice Address |
1912 Hayes Ave Suite 2 Sandusky OH 44870-4736 |
| Mailing Address |
3605 Warrensville Center Rd Shaker Hts OH 44122-5203 |
| Practice Telephone | 2168447700 |
| Mailing Telephone | 2162866260 |
| Mailing Fax Number | 2162866341 |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-08-05 |
| 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 |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2691903 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093946196 | University Hospital Medical Group, Inc. | Internal Medicine | 3330 S Main St, 1st Floor, Rock Creek, OH 44084-9356 | 2009-08-06 |
| 1689900904 | University Hospital Medical Group, Inc. | Anesthesiology | 9000 Mentor Ave, Mentor, OH 44060-4496 | 2009-10-21 |
| Street Address |
1912 HAYES AVE SUITE 2 |
| City | SANDUSKY |
| State | OH |
| Zip Code | 44870-4736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265430979 | David Morris | Internal Medicine | 1912 Hayes Ave, Sandusky, OH 44870-4736 | 2005-07-07 |
| 1356963987 | Melissa Catherine Woodruff | Registered Nurse | 1912 Hayes Ave, Sandusky, OH 44870-4736 | 2020-05-18 |
| 1447891726 | Jennifer Christine Richardson | Nurse Practitioner | 1912 Hayes Ave, Sandusky, OH 44870-4736 | 2019-10-08 |
| 1902323223 | Family Health Services of Erie County | Clinic/Center | 1912 Hayes Ave, Sandusky, OH 44870-4736 | 2017-08-28 |
| 1851793533 | North Coast Transitional Care, Inc. | Skilled Nursing Facility | 1912 Hayes Ave, Sandusky, OH 44870-4736 | 2014-09-24 |
| 1275945313 | Erin Lublow | Physical Therapist | 1912 Hayes Ave, Sandusky, OH 44870-4736 | 2014-05-23 |
| 1376954149 | Molly Mcmanus | Speech-Language Pathologist | 1912 Hayes Ave, Sandusky, OH 44870-4736 | 2014-05-15 |
| 1093125262 | Katherine Frey | Speech-Language Pathologist | 1912 Hayes Ave, Sandusky, OH 44870-4736 | 2014-04-28 |
| 1578901062 | Katherine Kay Myerholtz | Nurse Practitioner | 1912 Hayes Ave, Sandusky, OH 44870-4736 | 2013-06-06 |
| 1003159088 | Richard S Scarborough | Pathology | 1912 Hayes Ave, Sandusky, OH 44870-4736 | 2013-03-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154094 | Patricia Ann Barton | Non-emergency Medical Transport (VAN) | 622 Clinton St, Sandusky, OH 44870 | 2020-11-02 |
| 1154802080 | Kathryn Nicole Fisher | Counselor | 1975 Hayes Avenue, Sandusky, OH 44870 | 2018-08-28 |
| 1245727551 | Frank Lynn Fox Jr. | Audiologist | 1522 E Perkins Ave, Sandusky, OH 44870 | 2018-04-23 |
| 1689187338 | Marc Christian Lowe | Case Manager/Care Coordinator | 206 Brandon Blvd, Sandusky, OH 44870 | 2017-11-15 |
| 1043740079 | Charlene Jeanette Adams | Counselor | 1518 Pearl Street, Sandusky, OH 44870 | 2017-06-13 |
| 1386194884 | Max King I | Counselor | 912 Sycamore Line Apt.3d, Sandusky, OH 44870 | 2016-10-07 |
| 1811349475 | Dannon C Smith | Nurse Practitioner | 266 E Perkins Aveneue, Sandusky, OH 44870 | 2016-07-07 |
| 1053774810 | Rachel Lynn Holbrook | Nurse Practitioner | 266 E Perkins Ave, Sandusky, OH 44870 | 2016-03-30 |
| 1700246295 | Caren Westbrooks | Home Health Aide | 168 W. Shoreway Drive, Sandusky, OH 44870 | 2016-02-26 |
| 1679962260 | Academy of Arts and Sciences | Local Education Agency (LEA) | 328 E. Monroe Street, Sandusky, OH 44870 | 2015-01-20 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275940223 | Harry Stenzel | Pediatrics | 3202 E Stoneway Dr, Sandusky, OH 44870-6916 | 2014-07-22 |
| 1316043284 | Terry E Wiseman | Pediatrics | 1218 Cleveland Rd, Sandusky, OH 44870-4200 | 2006-09-16 |
| 1982614657 | Shavinder Kaur Ahluwalia | Pediatrics | 3006 South Campbell St, North Central Ohio Medical Services Inc, Sandusky, OH 44870 | 2006-08-08 |
| 1982658571 | Delia M Digregorio | Pediatrics | 1012 E Perkins Ave, Sandusky, OH 44870-5070 | 2006-05-19 |
| 1649277781 | Marin Beth Waynar | Pediatrics | 2800 Hayes Ave Bldg B, Sandusky, OH 44870 | 2005-07-05 |
| 1417489071 | Genevra Addis | Pediatrics | 1111 Hayes Ave, Sandusky, OH 44870-3323 | 2017-03-31 |
| 1912130675 | University Hospitals Medical Group, Inc. | Pediatrics | 420 Superior St, Sandusky, OH 44870-1849 | 2009-08-28 |
| 1558524082 | Beth Megan Mccloud | Pediatrics | 1111 Hayes Ave, Sandusky, OH 44870-3323 | 2008-07-03 |
| 1972700409 | Panin Soadwa-humphrey | Pediatrics | 1111 Hayes Ave, Sandusky, OH 44870-3323 | 2007-06-28 |
| 1164553657 | University Primary Care Practices | Pediatrics | 1218 Cleveland Rd, Sandusky, OH 44870-4200 | 2007-03-08 |
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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.