Organization
UNIVERSITY HOSPITALS MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MCELROY (VP OF FINANCE)
(216) 767-8717
Entity
Organization
Contact information
Practice address
11100 EUCLID AVE, HUMPHREY 1635, CLEVELAND, OH 44106-1716
(216) 844-3777
Mailing address
3605 WARRENSVILLE CENTER RD, 1ST FLOOR, SHAKER HEIGHTS, OH 44122-5203
(216) 286-6296
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
OH
367500000X
Certified Registered Nurse Anesthetist
—
OH
367H00000X
Anesthesiologist Assistant
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
02/12/2010
Last updated
02/12/2010
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