# UNIVERSITY HOSPITALS MEDICAL GROUP, INC

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

## Provider details

- **NPI number:** 1811212913
- **Authorized official:** LARRY MCELROY (CONTROLLER)
- **Authorized official phone:** (216) 383-6756

## Contact information

- **Practice address:** 11100 EUCLID AVE, BOLWELL, 6TH FLOOR, CLEVELAND, OH 44106-1716
- **Practice address phone:** (216) 286-6296
- **Practice address fax:** (216) 286-6341
- **Mailing address:** 3605 WARRENSVILLE CENTER RD, OFFICE 1342, SHAKER HEIGHTS, OH 44122-5203
- **Mailing address phone:** (216) 286-6296
- **Mailing address fax:** (216) 286-6341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | OH | Yes |
| 363L00000X | Nurse Practitioner | — | OH | — |
| 364SX0200X | Oncology Clinical Nurse Specialist | — | OH | — |

## Other

- **Enumeration date:** 03/31/2010
- **Last updated:** 07/02/2024
