Active NPI
University Primary Care Practices Inc
- Emergency Medicine Physician
- Beachwood, OH
National Provider Identifier
1114227840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- UNIVERSITY PRIMARY CARE PRACTICES INC
- Practice address
- 3999 Richmond Rd
Beachwood, OH 44122-6046 - Phone
- (216) 383-0100
- Fax
- (216) 383-6745
- NPI assigned
- Oct 28, 2010
- Last updated
- Oct 28, 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 J Riddle
- Title
- Director of Billing Services
- Phone
- (216) 383-6480
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OH | Primary |
Addresses
Primary practice location
3999 Richmond Rd
Beachwood, OH 44122-6046
Mailing address
PO Box 8792
Belfast, ME 04915-8792
Phone (216) 383-0100
Other names 1
- UHMP - Emergency 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
13207 Ravenna Rd
#1
Chardon, OH 44024
9318 State Route 14
Fl 3
Streetsboro, OH 44241
Phone (330) 422-0916
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Streetsboro, OH
- NPI 1881949865
-
- Adult Health Nurse Practitioner
- Ravenna, OH
- NPI 1689693277
-
- Pulmonary Disease Physician
- Chardon, OH
- NPI 1326200387
-
- Neurology Physician
- Medina, OH
- NPI 1891808135
-
- Family Medicine Physician
- Rocky River, OH
- NPI 1780651836
-
- Gastroenterology Physician
- Ravenna, OH
- NPI 1669764916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288224000000",
"number": "1114227840",
"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": "216-383-0100",
"fax_number": "216-383-6745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3999 RICHMOND RD",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441226046",
"telephone_number": "216-383-0100",
"fax_number": "216-383-6745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY PRIMARY CARE PRACTICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-28",
"last_updated": "2010-10-28",
"status": "A",
"authorized_official_last_name": "RIDDLE",
"authorized_official_first_name": "STEVE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DIRECTOR OF BILLING SERVICES",
"authorized_official_telephone_number": "216-383-6480"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "UHMP - Emergency Medicine",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Beachwood, OH
- University Primary Care Practices
- University Primary Care Practices
- University Primary Care Practices
- University Primary Care Practices
- University Primary Care Practices Inc (Uhmp - Centers for Internal Medicine)
- University Primary Care Practices Inc (Internal Medicine Group of Cleveland)
- University Primary Care Practices Inc (University Hospitals Women's Care)
- University Primary Care Practices Inc
- University Primary Care Practices Inc
- Breyon Upton
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.