Organization
UNIVERSITY HOSPITALS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MCELROY (CONTROLLER)
(216) 767-8717
Entity
Organization
Contact information
Practice address
11100 EUCLID AVE, 5TH FLOOR, CLEVELAND, OH 44106-1716
(216) 844-1000
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6616
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
—
OH
207X00000X
Orthopaedic Surgery Physician
—
OH
208000000X
Pediatrics Physician
—
OH
2084N0400X
Neurology Physician
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
05/14/2010
Last updated
05/14/2010
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