University Primary Care Practices Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

UNIVERSITY PRIMARY CARE PRACTICES INC

Practice address

701 N Lake St Ste 101
Madison, OH 44057-3152

Phone

(440) 428-7512

Fax

(440) 428-4848

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Addresses

Other names 1

• UHMP - CHENGUTTAI MANOHAR Other name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 2

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

• Elaina Bohanon, PA-C

  • Medical Physician Assistant
  • Geneva, OH
  • NPI 1336860642
  NPD (past)
• Karim Razmjouei, M.D.

  • Internal Medicine Physician
  • Middlefield, OH
  • NPI 1518935279

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1124159512",
    "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": "440-428-7512",
            "fax_number": "440-428-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N LAKE ST STE 101",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440573152",
            "telephone_number": "440-428-7512",
            "fax_number": "440-428-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PRIMARY CARE PRACTICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2010-04-12",
        "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 - CHENGUTTAI MANOHAR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katherine Ann Thokey Klco, D.D.S.
• Melanie Ann Tilley
• Trice Chiropractic Clinic
• Adam R Trice, D.C.
• Randy D Trice, DC
• University Primary Care Practices Inc
• Christine Vandeweel
• Carol Lynn Vargo, CCC SLP/A
• Concetta Vendittelli
• Viaquest Healthcare Central

• Internal Medicine Physician in Madison, OH
• Providers in Madison, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.