University Primary Care Practices
Organization Active NPI Pediatrics Physician · Broadview HTS, OH
NPI 1063530236 · NPPES record last updated Sep 18, 2007
Key facts
- NPI
- 1063530236
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- UNIVERSITY PRIMARY CARE PRACTICES
- Practice address
- 500 E Royalton Rd Ste 100
Broadview HTS, OH 44147-2592 - Phone
- (216) 383-0100
- Fax
- (216) 383-6481
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
Authorized official
- Name
- Steve Riddle
- Title
- Director of Billing Services
- Phone
- (216) 383-6480
Corporate family (same tax ID) 17
National Provider Directory
- Tax ID family
- Ge University Primary C
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
500 E Royalton Rd Ste 100
Broadview HTS, OH 44147-2592
Mailing address
PO Box 74610
Cleveland, OH 44194-0693
Phone (216) 383-6480
Other names
- UHMP - PEDIATRICENTER
Other providers in Broadview HTS, OH
- Vincent P Sustersic
- Connie Sue Tezie
- The Selig Group
- Vasily N Tsuper
- Maureen Tyrrell
- University Primary Care Practices Inc
- Larissa Venditti
- Scott Steven Whitney
- Bridget Colleen Wu
- Brian Harris Zack
All providers in Broadview HTS, OH · Pediatrics Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.