Organization
UNIVERSITY HOSPITALS MEDICAL GROUP, INC.
Active
Organization
UNIVERSITY HOSPITALS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MCELROY (VICE PRESIDENT OF FINANCE)
(216) 767-8717
Entity
Organization
Contact information
Practice address
9000 MENTOR AVE, SUITE 100, MENTOR, OH 44060-4496
(216) 844-1000
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
207SG0201X
Clinical Genetics (M.D.) Physician
—
OH
207X00000X
Orthopaedic Surgery Physician
—
OH
208000000X
Pediatrics Physician
Primary
—
OH
208200000X
Plastic Surgery Physician
—
OH
208600000X
Surgery Physician
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
12/16/2009
Last updated
12/17/2009
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