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Organization
UNIVERSITY HOSPITALS MEDICAL GROUP, INC.
Active
Organization
UNIVERSITY HOSPITALS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MCELROY (VP OF FINANCE)
(216) 767-8717
Entity
Organization
Contact information
Practice address
11100 EUCLID AVE, MATHER 1800, CLEVELAND, OH 44106-1716
(216) 844-1000
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6616
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
—
OH
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
OH
207R00000X
Internal Medicine Physician
Primary
—
OH
207RC0000X
Cardiovascular Disease Physician
—
OH
207RG0100X
Gastroenterology Physician
—
OH
207RP1001X
Pulmonary Disease Physician
—
OH
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
OH
208000000X
Pediatrics Physician
—
OH
208200000X
Plastic Surgery Physician
—
OH
2084N0400X
Neurology Physician
—
OH
2084P0800X
Psychiatry Physician
—
OH
2085R0202X
Diagnostic Radiology Physician
—
OH
2086S0129X
Vascular Surgery Physician
—
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
02/25/2010
Last updated
11/15/2010
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