University Primary Care Practices Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

UNIVERSITY PRIMARY CARE PRACTICES INC

Doing business as

UH Brook Park Urgent Care

Practice address

15900 Snow Rd
Brookpark, OH 44142-2859

Phone

(330) 405-1500

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Donald Decarlo

Title

Cmo, East Market

Phone

(440) 285-2950

Specialties & licenses 1

Addresses

Other names 1

• UH Brook Park Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1073794426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772928",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 SNOW RD",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441422859",
            "telephone_number": "330-405-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PRIMARY CARE PRACTICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "DECARLO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CMO, EAST MARKET",
        "authorized_official_telephone_number": "440-285-2950"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UH Brook Park Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra A. Tkac, L.P.C.C.-S
• Julio Torres, QMHS
• Tarra Nichole Troutman
• Sheryl L Tufts
• University Hospitals Urgent Care, LLC
• Vanessa Ann Vodan, AUD
• Kayla Walter, M.A., L.P.C.
• Monique Watts, FNP
• Welcome House, Inc.
• Emily Whitlock

• Urgent Care Clinic/Center in Brookpark, OH
• Providers in Brookpark, OH by specialty
• Urgent Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.