Organization
UNIVERSITY HOSPITALS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MCELROY (CONTROLLER)
(216) 383-6756
Entity
Organization
Contact information
Practice address
3909 ORANGE PL, SUITE 3100, BEACHWOOD, OH 44122-4478
(216) 844-3944
Mailing address
24701 EUCLID AVE, CLEVELAND, OH 44117-1714
(216) 383-6616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
OH
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
OH
207RG0100X
Gastroenterology Physician
—
OH
207RI0200X
Infectious Disease Physician
—
OH
207RN0300X
Nephrology Physician
—
OH
207RR0500X
Rheumatology Physician
—
OH
208D00000X
General Practice Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
05/28/2010
Last updated
05/28/2010
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