Organization
UNIVERSITY HOSPITALS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MCELROY (V.P. OF FINANCE)
(216) 767-8717
Entity
Organization
Contact information
Practice address
44 BLAINE AVE, BEDFORD, OH 44146-2709
(216) 844-1000
(216) 286-6341
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
103T00000X
Psychologist
—
OH
207L00000X
Anesthesiology Physician
—
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
OH
207RC0000X
Cardiovascular Disease Physician
—
OH
207T00000X
Neurological Surgery Physician
—
OH
208200000X
Plastic Surgery Physician
—
OH
2084N0400X
Neurology Physician
—
OH
2084P0800X
Psychiatry Physician
—
OH
2085R0202X
Diagnostic Radiology Physician
—
OH
208600000X
Surgery Physician
—
OH
208800000X
Urology Physician
—
OH
261Q00000X
Clinic/Center
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
02/04/2010
Last updated
02/05/2010
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