University Primary Care Practices Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

UNIVERSITY PRIMARY CARE PRACTICES INC

Practice address

8055 Mayfield Rd Ste 107
Chesterland, OH 44026-2447

Phone

(440) 729-3644

Fax

(440) 729-4239

NPI assigned

Mar 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steve Riddle

Title

Director of Billing Services

Phone

(216) 383-6480

Specialties & licenses 1

Addresses

Other names 1

• Premier Family Physicians Other name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1043340771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8792",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049158792",
            "telephone_number": "440-729-3644",
            "fax_number": "440-729-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 MAYFIELD RD STE 107",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440262447",
            "telephone_number": "440-729-3644",
            "fax_number": "440-729-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PRIMARY CARE PRACTICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING SERVICES",
        "authorized_official_telephone_number": "216-383-6480"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Family Physicians",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Steven T Thomas, PHD, LISW-S
• Logan Olivia Toth, MA, CTRS, CT
• Caitlyn Lee Trebella
• Cynthia L Troutman
• Yelena Tselenchuk, NP
• University-Geauga Family Physicians, Inc.
• Paula Usis, MD
• Margaret Ann Vaccarina
• Tiffany Ashley Vere, RPH
• Leila Ann Vidmar, PCC

• Family Medicine Physician in Chesterland, OH
• Providers in Chesterland, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.