Organization
UNIVERSITY HOSPITAL 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, 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
207L00000X
Anesthesiology Physician
—
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
OH
207V00000X
Obstetrics & Gynecology Physician
—
OH
207W00000X
Ophthalmology Physician
—
OH
208200000X
Plastic Surgery Physician
—
OH
2085R0202X
Diagnostic Radiology Physician
—
OH
208600000X
Surgery Physician
—
OH
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
10/21/2009
Last updated
10/21/2009
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