University Hospitals Geneva Medical Center

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER

Practice address

2131 Lake Ave
Ashtabula, OH 44004-3466

Phone

(440) 992-0759

Fax

(440) 992-1334

NPI assigned

Jul 18, 2015

Organization subpart

No

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

Authorized official

Name

Anthony Schillero

Title

Director, FP&a

Phone

(216) 767-8141

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• UH Geneva Urgent Care Doing business as

Electronic endpoints 1

Tax ID family

Memorial Hospital of Ge8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

• University Hospitals Geneva Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Geneva, OH
  • NPI 1063599165
  NPD tax ID
• University Hospitals Geneva Medical Center

  • Rural Health Clinic/Center
  • Geneva, OH
  • NPI 1184308892
  NPD tax ID
• University Hospitals Geneva Medical Center

  • Critical Access Hospital
  • Geneva, OH
  • NPI 1225128432
  NPD tax ID
• University Hospitals Geneva Medical Center

  • Rural Health Clinic/Center
  • Jefferson, OH
  • NPI 1427732130
  NPD tax ID
• University Hospitals Geneva Medical Center

  • Urgent Care Clinic/Center
  • Ashtabula, OH
  • NPI 1508264714
  NPD tax ID
• University Hospitals Geneva Medical Center

  • Rural Health Clinic/Center
  • Geneva, OH
  • NPI 1932885662
  NPD tax ID
• University Hospitals Geneva Medical Center

  • Community/Retail Pharmacy
  • Geneva, OH
  • NPI 1982189783
  NPD tax ID

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1104200146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772930",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772930",
            "telephone_number": "440-466-1141",
            "fax_number": "216-767-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043466",
            "telephone_number": "440-992-0759",
            "fax_number": "440-992-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "SCHILLERO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR, FP&A",
        "authorized_official_telephone_number": "216-767-8141"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5874568",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/Documentsubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "UH Geneva Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UH Geneva Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenden G Tully, PA
• Cletus Joseph Ryan Turner
• Jailah Noelle Turner
• Uh Regional Hospitals
• University Hospitals Conneaut Medical Center
• University Hospitals Geneva Medical Center
• University Primary Care Practices
• University Primary Care Practices Inc
• University Primary Care Practices Inc
• University Primary Care Practices Inc

• Urgent Care Clinic/Center in Ashtabula, OH
• Providers in Ashtabula, 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 Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.