Organization
UNIVERSITY HOSPITALS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE RIDDLE (DIRECTOR OF BILLING SERVICE)
(216) 383-6480
Entity
Organization
Contact information
Practice address
3999 RICHMOND RD, BEACHWOOD, OH 44122-6046
(216) 844-3800
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
OH
207P00000X
Emergency Medicine Physician
Primary
—
OH
207RC0000X
Cardiovascular Disease Physician
—
OH
207RG0100X
Gastroenterology Physician
—
OH
207RI0200X
Infectious Disease Physician
—
OH
207RR0500X
Rheumatology Physician
—
OH
207T00000X
Neurological Surgery Physician
—
OH
207X00000X
Orthopaedic Surgery Physician
—
OH
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
OH
208000000X
Pediatrics Physician
—
OH
2084N0400X
Neurology Physician
—
OH
2084P0800X
Psychiatry Physician
—
OH
208600000X
Surgery Physician
—
OH
208800000X
Urology Physician
—
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
12/02/2011
Last updated
12/02/2011
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