Organization
UNIVERSITY HOSPITALS MEDICAL GROUP,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE RIDDLE (DIRECTOR OF BILLING SERVICES)
(216) 383-6480
Entity
Organization
Contact information
Practice address
11100 EUCLID AVE, SUITE 2100, CLEVELAND, OH 44106-1716
(216) 844-8082
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
OH
208000000X
Pediatrics Physician
Primary
—
OH
2086S0129X
Vascular 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
09/23/2011
Last updated
09/23/2011
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