Organization
UNIVERSITY HOSPITALS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MCELROY (PROVIDER ENROLLMENT)
(216) 286-6260
Entity
Organization
Contact information
Practice address
27100 CHARDON RD, 3RD FLOOR, RICHMOND HTS, OH 44143-1116
(440) 585-7070
Mailing address
3605 WARRENSVILLE CENTER RD, 1ST FLOOR, SHAKER HTS, OH 44122-5203
(216) 286-6260
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
02/25/2010
Last updated
02/25/2010
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