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 (VICE PRESIDENT OF FINANCE)
(216) 767-8717
Entity
Organization
Contact information
Practice address
11100 EUCLID AVE, DEFORIA/RBC SUITE 1200, 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
207SG0201X
Clinical Genetics (M.D.) Physician
—
OH
208000000X
Pediatrics Physician
—
OH
208200000X
Plastic Surgery Physician
—
OH
2084N0400X
Neurology Physician
—
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
OH
261Q00000X
Clinic/Center
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
01/06/2010
Last updated
03/03/2011
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