NPIMap

Organization Active NPI

University Primary Care Practices, Inc.

Doing business as UH Tri City Family Medicine

  • Family Medicine Physician
  • Elyria, OH
National Provider Identifier
1104201839
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNIVERSITY PRIMARY CARE PRACTICES, INC.
Doing business as
UH Tri City Family Medicine
Practice address
1120 E Broad St Ste 200
Elyria, OH 44035-6306
Phone
(440) 326-4410
Fax
(216) 201-6913
NPI assigned
Jul 23, 2015
Last updated
Apr 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Authorized official

Name
Dr. Cliff A Megerian, MD
Title
President of Uh Physician Services
Phone
(216) 844-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1120 E Broad St Ste 200
Elyria, OH 44035-6306

Mailing address

PO Box 8792
Belfast, ME 04915-8792
Phone (440) 326-4410

Other names 1

  • UH Tri City Family Medicine Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2162737Uhmp - Tri-City Family Medicine - Elyria1120 East Broad St, Ste 100, Elyria, OH 44035Certificate of waiverFeb 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Upcp Mentor Urgent Care74 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

Locations

1120 E Broad St
#200
Elyria, OH 44035
Phone (440) 326-4410

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1104201839",
    "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": "440-326-4410",
            "fax_number": "216-201-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E BROAD ST STE 200",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356306",
            "telephone_number": "440-326-4410",
            "fax_number": "216-201-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PRIMARY CARE PRACTICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "MEGERIAN",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OF UH PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "216-844-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UH Tri City Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.