Organization
UNIVERSITY HOSPITALS MEDICAL GROUP, INC.
Active
Organization
UNIVERSITY HOSPITALS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE RIDDLE (DIRECTOR OF BILLING SERVICES)
(216) 383-6480
Entity
Organization
Contact information
Practice address
4001 CARRICK DR, SUITE 140, MEDINA, OH 44256-5387
(330) 721-8482
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
OH
207RI0011X
Interventional Cardiology Physician
Primary
—
OH
2084N0400X
Neurology Physician
—
OH
2084V0102X
Vascular Neurology Physician
—
OH
2086S0129X
Vascular Surgery Physician
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
09/01/2011
Last updated
09/01/2011
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