# UNIVERSITY HOSPITAL MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689900904
- **Authorized official:** LARRY MCELROY (VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (216) 767-8717

## Contact information

- **Practice address:** 9000 MENTOR AVE, MENTOR, OH 44060-4496
- **Practice address phone:** (216) 844-1000
- **Mailing address:** 3605 WARRENSVILLE CENTER RD, 1ST FLOOR, SHAKER HTS, OH 44122-5203
- **Mailing address phone:** (216) 286-6260
- **Mailing address fax:** (216) 286-6341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | OH | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | OH | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | OH | — |
| 207W00000X | Ophthalmology Physician | — | OH | — |
| 208200000X | Plastic Surgery Physician | — | OH | — |
| 2085R0202X | Diagnostic Radiology Physician | — | OH | — |
| 208600000X | Surgery Physician | — | OH | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | OH | Yes |

## Other

- **Enumeration date:** 10/21/2009
- **Last updated:** 10/21/2009