Organization
UNIVERSITY HOSPITALS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MCELROY (VP)
(216) 767-8717
Entity
Organization
Contact information
Practice address
4212 STATE ROUTE 306, WILLOUGHBY, OH 44094
(216) 286-6299
(216) 286-6341
Mailing address
3605 WARRENSVILLE CENTER RD, MSC 9152, SHAKER HEIGHTS, OH 44122-9258
(216) 286-6299
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207K00000X
Allergy & Immunology Physician
—
—
207L00000X
Anesthesiology Physician
—
—
207N00000X
Dermatology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
04/07/2009
Last updated
04/07/2009
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