Organization
UNIVERSITY HOSPITALS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MCELROY (VP OF FINANCE)
(216) 787-8717
Entity
Organization
Contact information
Practice address
11100 EUCLID AVE, MATHER B 270, CLEVELAND, OH 44106-1716
(216) 844-3771
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6616
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
OH
207RG0100X
Gastroenterology Physician
—
OH
207T00000X
Neurological Surgery Physician
—
OH
207V00000X
Obstetrics & Gynecology Physician
—
OH
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
OH
2084N0400X
Neurology Physician
—
OH
2084P0800X
Psychiatry Physician
—
OH
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
OH
208800000X
Urology Physician
—
OH
208VP0000X
Pain Medicine Physician
—
OH
261Q00000X
Clinic/Center
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
03/25/2010
Last updated
01/31/2011
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