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
12340 BASS LAKE RD, CHARDON, OH 44024-8327
(440) 285-4040
(440) 285-7278
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
207RI0200X
Infectious Disease Physician
—
OH
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
OH
208200000X
Plastic Surgery Physician
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
08/24/2009
Last updated
08/24/2009
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