Active NPI
University Primary Care Practices Inc
Doing business as Uhmp - Geauga Internal Medicine
- Internal Medicine Physician
- Chardon, OH
National Provider Identifier
1114056124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- UNIVERSITY PRIMARY CARE PRACTICES INC
- Doing business as
- Uhmp - Geauga Internal Medicine
- Practice address
- 13170 Ravenna Rd Ste 112
Chardon, OH 44024-7022 - Phone
- (440) 286-9599
- Fax
- (440) 286-2837
- NPI assigned
- Mar 5, 2007
- Last updated
- Apr 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steve Riddle
- Title
- Director of Billing Services
- Phone
- (216) 383-6480
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
13170 Ravenna Rd Ste 112
Chardon, OH 44024-7022
Mailing address
PO Box 8792
Belfast, ME 04915-8792
Phone (440) 286-9588
Other names 1
- UHMP - GEAUGA INTERNAL MEDICINE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031125000767 | OH | Part B Supplier - Clinic/Group Practice | 3072417534 |
Receives reassigned benefits from 1,508 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
13170 Ravenna Rd
Ste 112
Chardon, OH 44024
Phone (440) 286-9588
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Obstetrics & Gynecology Physician
- Westlake, OH
- NPI 1275582652
-
- Internal Medicine Physician
- Chagrin Falls, OH
- NPI 1811093222
-
- Internal Medicine Physician
- Warren, OH
- NPI 1124127063
-
- Internal Medicine Physician
- Cleveland, OH
- NPI 1508897380
-
- Sleep Medicine (Internal Medicine) Physician
- Las Vegas, NV
- NPI 1194707547
-
- Internal Medicine Physician
- Dunedin, FL
- NPI 1124111273
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1417157066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270771200000",
"number": "1114056124",
"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": "440-286-9588",
"fax_number": "440-286-2837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13170 RAVENNA RD STE 112",
"city": "CHARDON",
"state": "OH",
"postal_code": "440247022",
"telephone_number": "440-286-9599",
"fax_number": "440-286-2837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY PRIMARY CARE PRACTICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-05",
"last_updated": "2010-04-09",
"status": "A",
"authorized_official_last_name": "RIDDLE",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "DIRECTOR OF BILLING SERVICES",
"authorized_official_telephone_number": "216-383-6480"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "UHMP - GEAUGA INTERNAL MEDICINE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chardon, OH
- University Hospitals Cleveland Medical Center (UH Meds Geauga Pharmacy)
- University Hospitals Medical Group, Inc
- University Hospitals Medical Group, Inc.
- University Hospitals Medical Group, Inc.
- University Primary Care Physicians
- University Primary Care Practices Inc
- University Primary Care Practices Inc
- University Primary Care Practices Inc
- University Primary Care Practices Inc (Uhmp Janet Ohara)
- University Primary Care Practices Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.