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
29017 CEDAR RD, LYNDHURST, OH 44124-4073
(216) 844-1000
Mailing address
24701 EUCLID AVE, EUCLID, OH 44117-1714
(216) 383-6616
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
OH
207V00000X
Obstetrics & Gynecology Physician
—
OH
207W00000X
Ophthalmology Physician
—
OH
207Y00000X
Otolaryngology Physician
Primary
—
OH
208200000X
Plastic Surgery Physician
—
OH
208600000X
Surgery Physician
—
OH
208800000X
Urology Physician
—
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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