Organization
UNIVERSITY HOSPITALS MEDICAL GROUP, INC.
Active
Organization
UNIVERSITY HOSPITALS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE RIDDLE (DIRECTOR OF BILLING SERVICES)
(216) 383-6480
Entity
Organization
Contact information
Practice address
1000 AUBURN DR, SUITE 210, BEACHWOOD, OH 44122-4317
(216) 844-3118
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
OH
2085R0202X
Diagnostic Radiology Physician
Primary
—
OH
2085R0204X
Vascular & Interventional Radiology Physician
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
11/04/2011
Last updated
11/04/2011
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