University Emergency Specialists of Bedford, Inc (Geauga)

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

UNIVERSITY EMERGENCY SPECIALISTS OF BEDFORD, INC (GEAUGA)

Practice address

13207 Ravenna Rd
Chardon, OH 44024-7032

Phone

(440) 285-6000

Fax

(330) 656-5901

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Hite

Title

Chief Revenue Officer

Phone

(240) 686-2300

Specialties & licenses 1

Addresses

Tax ID family

Ues Twinsburg Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Ues Twinsburg, Inc

  • Emergency Medicine Physician
  • Twinsburg, OH
  • NPI 1023311735
  NPD tax ID

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547251200000",
    "number": "1144307976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20010 CENTURY BLVD STE 200",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741118",
            "telephone_number": "240-686-2300",
            "fax_number": "240-686-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13207 RAVENNA RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440247032",
            "telephone_number": "440-285-6000",
            "fax_number": "330-656-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY EMERGENCY SPECIALISTS OF BEDFORD, INC (GEAUGA)",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-01-12",
        "status": "A",
        "authorized_official_last_name": "HITE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF REVENUE OFFICER",
        "authorized_official_telephone_number": "240-686-2300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medicine Physician in Chardon, OH
• Providers in Chardon, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.