Organization
UNIVERSITY HOSPITALS MEDICAL GROUP,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY D MCELROY (VP OF FINANCE)
(216) 844-6217
Entity
Organization
Contact information
Practice address
29001 CEDAR RD, STE 203, LYNDHURST, OH 44124-4062
(216) 844-1000
(216) 286-6341
Mailing address
3605 WARRENSVILLE CENTER RD, MSC9152, SHAKER HTS, OH 44122-5203
(216) 286-6299
(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
—
5972910002
DMERC
OH
Enumeration date
05/29/2007
Last updated
11/06/2009
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