University Primary Care Practices Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

UNIVERSITY PRIMARY CARE PRACTICES INC

Practice address

7215 Old Oak Blvd Ste A311
Middleburg Heights, OH 44130-3340

Phone

(440) 816-5500

Fax

(440) 816-5514

NPI assigned

May 25, 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 Billins Services

Phone

(216) 383-6480

Specialties & licenses 1

Addresses

Other names 1

• UNIVERSITY SOUTHWEST SURGEONS Other name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1073724324",
    "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": "440-816-5500",
            "fax_number": "440-816-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 OLD OAK BLVD STE A311",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303340",
            "telephone_number": "440-816-5500",
            "fax_number": "440-816-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PRIMARY CARE PRACTICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "DIRECTOR OF BILLINS SERVICES",
        "authorized_official_telephone_number": "216-383-6480"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSITY SOUTHWEST SURGEONS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Holley Tweedy, MSN, CRNP
• Stephen John Tymcio, M.D.
• Jovonne Marie Tyson-King
• Understory Services and Supports, LLC
• University of Pittsburgh Medical Center
• Linas Vaitkus, MD
• Mary J Valent, LPCC
• Alaina Valenti
• Mark Valley, LPCC
• Leah Marie Vandine, QMHS

• Surgery Physician in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.