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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
950 CLAGUE RD, BLDG B, WESTLAKE, OH 44145-1503
(216) 286-6299
Mailing address
3605 WARRENSVILLE CENTER RD, MSC 9152, SHAKER HEIGHTS, OH 44122
(216) 286-6299
(216) 286-6341

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207L00000X
Anesthesiology Physician
207N00000X
Dermatology Physician
207P00000X
Emergency Medicine Physician
207SG0201X
Clinical Genetics (M.D.) Physician
207T00000X
Neurological Surgery Physician
207W00000X
Ophthalmology Physician
207X00000X
Orthopaedic Surgery Physician
207Y00000X
Otolaryngology Physician
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
208000000X
Pediatrics 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
06/17/2009
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