University Hospitals Medical Group

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

UNIVERSITY HOSPITALS MEDICAL GROUP

Practice address

5778 Darrow Rd
Lower Level
Hudson, OH 44236-3808

Phone

(216) 844-3601

Fax

(216) 844-7117

NPI assigned

Aug 19, 2009

Last updated

Jun 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Larry McElroy

Title

VP

Phone

(216) 767-8717

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1144452509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "address_2": "3RD FLOOR",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714",
            "telephone_number": "216-383-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5778 DARROW RD",
            "address_2": "LOWER LEVEL",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442363808",
            "telephone_number": "216-844-3601",
            "fax_number": "216-844-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HOSPITALS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-19",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "MCELROY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "216-767-8717"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2691903",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "5972910008",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abeer Truesdail
• Jennifer Turk
• Susan Belle Ujvari, LPN
• Unity Health Network, LLC
• University Hospital Medical Group, Inc.
• University Hospitals Medical Group, Inc
• University Primary Care Practices Inc (Western Reserve Physicians)
• University Primary Care Practices Inc (Western Reserve Heart Care)
• Van Hala Dental Hudson, LLC
• Hannah Kate Van Meter, BCBA

• Ophthalmology Physician in Hudson, OH
• Providers in Hudson, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.