NPIMap

University Primary Care Practices, Inc.

Organization Active NPI Family Medicine Physician · Elyria, OH

NPI 1104201839 · NPPES record last updated Apr 1, 2019

Key facts

NPI
1104201839
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
UNIVERSITY PRIMARY CARE PRACTICES, INC.
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
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 20

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2162737Uhmp - Tri-City Family Medicine - Elyria
1120 East Broad St, Ste 100, Elyria, OH 44035		Certificate of waiverFeb 27, 2027

National Provider Directory

Tax ID family
Ge University Primary C (74 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes

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

  • UH Tri City Family Medicine Doing business as

Other providers in Elyria, OH

All providers in Elyria, OH · Family Medicine Physician in Ohio

Sources for this page

Verify at the official NPI Registry.