Active NPI
University Neurosurgeons of Cleveland,Inc
- Neurological Surgery Physician
- Cleveland, OH
National Provider Identifier
1013955731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- UNIVERSITY NEUROSURGEONS OF CLEVELAND,INC
- Practice address
- 11100 Euclid Ave
Cleveland, OH 44106-1736 - Phone
- (216) 844-5754
- NPI assigned
- Jun 3, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roberta Lilly-Trakas
- Title
- Practice Administrator
- Phone
- (216) 844-5754
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
11100 Euclid Ave
Cleveland, OH 44106-1736
Mailing address
5910 Landerbrook Dr
Suite 250
Mayfield HTS, OH 44124-6508
Phone (440) 684-5816
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0620199 | Medicaid | OH | |
| CA3390 | Other | OH | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurological Surgery Physician
- Boca Raton, FL
- NPI 1679599542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013955731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5910 LANDERBROOK DR",
"address_2": "SUITE 250",
"city": "MAYFIELD HTS",
"state": "OH",
"postal_code": "441246508",
"telephone_number": "440-684-5816",
"fax_number": "440-449-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061736",
"telephone_number": "216-844-5754"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY NEUROSURGEONS OF CLEVELAND,INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LILLY-TRAKAS",
"authorized_official_first_name": "ROBERTA",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "216-844-5754"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0620199",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CA3390",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
- University Hospitals Professionals, LTD
- University Imaging Inc
- University Manor Healthcare Group, Inc (University Manor)
- University Neurologists Assoc
- University Neurologists Association,Inc
- University of Cleveland Preparatory School
- University Ophthalmologists,Inc
- University Ophthalmology Associates, Inc
- University Oral and Facial Surgical Care, LLC
- University Otolaryngology-Head & Neck Surgery,Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.