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Contact Information

UNIVERSITY HOSPITALS MEDICAL GROUP, INC.
12340 BASS LAKE RD
CHARDON, OH44024-8327
 Phone: 440-285-4040
 Fax: 440-285-7278
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for UNIVERSITY HOSPITALS MEDICAL GROUP, INC.

NPI # 1780816819
LBN Legal business name UNIVERSITY HOSPITALS MEDICAL GROUP, INC.
Authorized official LARRY MCELROY - (VICE PRESIDENT OF FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 08/24/2009
Last updated 08/24/2009 - About 17 years ago
Identifiers
OH Medicaid 2691903
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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