Organization
UNIVERSITY HOSPITALS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MCELROY (VP)
(216) 767-8717
Entity
Organization
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 286-6296
Mailing address
3605 WARRENSVILLE CENTER RD, ROOM 1342, SHAKER HTS, OH 44122-5203
(216) 286-6296
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
01
—
DF2958
MEDICARE RAILROAD
OH
Enumeration date
04/10/2009
Last updated
04/10/2009
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