# UNIVERSITY HOSPITALS MEDICAL GROUP,INC

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

## Provider details

- **NPI number:** 1871794073
- **Authorized official:** LARRY D MCELROY (VP OF FINANCE)
- **Authorized official phone:** (216) 844-6217

## Contact information

- **Practice address:** 29001 CEDAR RD, STE 203, LYNDHURST, OH 44124-4062
- **Practice address phone:** (216) 844-1000
- **Practice address fax:** (216) 286-6341
- **Mailing address:** 3605 WARRENSVILLE CENTER RD, MSC9152, SHAKER HTS, OH 44122-5203
- **Mailing address phone:** (216) 286-6299
- **Mailing address fax:** (216) 286-6341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/29/2007
- **Last updated:** 11/06/2009