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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