Organization
UNIVERSITY HOSPITALS MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MCELROY (CONTROLLER)
(216) 383-6756
Entity
Organization
Contact information
Practice address
7500 AUBURN RD, SUITE 1500, CONCORD TWP, OH 44077-9602
(440) 358-5480
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6616
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
OH
2086S0129X
Vascular Surgery Physician
—
OH
291U00000X
Clinical Medical Laboratory
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
03/31/2010
Last updated
02/16/2011
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