University Primary Care Practices Inc
Organization Active NPI Multi-Specialty Clinic/Center · Cleveland, OH
NPI 1154375681 · NPPES record last updated Jul 16, 2014
Key facts
- NPI
- 1154375681
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- UNIVERSITY PRIMARY CARE PRACTICES INC
- Practice address
- 11100 Euclid Ave
Lerner Tower Room 1056
Cleveland, OH 44106-1716 - Phone
- (216) 383-6776
- Fax
- (216) 383-6745
- NPI assigned
- May 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Lori White
- Title
- Director
- Phone
- (216) 383-6724
Practitioners 110
-
Nadim Al-Mubarak, MD
-
Susan K. Bailey, D.O.
-
Marcus A Baratian, M.D.
-
Brittany L Barger, CNP
-
Glenn Beck, DO
-
Raymond P Bermea, MD
-
Michelle Glaser Beskid, D.O.
-
Margarita Brin, MD
-
Lauren Nicole Burns, D.O.
-
Robert B Cameron, M.D.
-
Jennifer Lynne Cenna, MSN RN CNP
-
Richard Y Chang, MD
-
Niketa Chheda, M.D
-
Denise L Coyner, CNP
-
Victor Demarco, MD
-
Alice M Denton, M.D.
-
Deborah Lynne Dillon, CNP
-
Sara S Eapen, MD
-
Joanna Farragher, CNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| 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
Locations
11100 Euclid Ave
Rm 1056
Cleveland, OH 44106
24701 Euclid Ave
Fl Third
Euclid, OH 44117
6150 Oak Tree Blvd
Ste 5500
Independence, OH 44131
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | OH | ||
| Family Medicine Physician |
207Q00000X | OH | ||
| Internal Medicine Physician |
207R00000X | OH | ||
| Obstetrics & Gynecology Physician |
207V00000X | OH | ||
| Orthopaedic Surgery Physician |
207X00000X | OH | ||
| Clinical Pathology/Laboratory Medicine Physician |
207ZP0105X | OH | ||
| Pediatrics Physician |
208000000X | OH | ||
| Neurology Physician |
2084N0400X | OH | ||
| Diagnostic Radiology Physician |
2085R0202X | OH | ||
| Surgery Physician |
208600000X | OH | ||
| Multi-Specialty Clinic/Center | 261QM1300X | OH | Yes |
Addresses
Primary practice location
11100 Euclid Ave
Lerner Tower Room 1056
Cleveland, OH 44106-1716
Mailing address
24701 Euclid Ave
Third Floor - Billing Services
Euclid, OH 44117-1714
Phone (216) 383-6776
Other names
- UPCP Inc
Other providers in Cleveland, OH
- University Physicians Inc
- University Plastic Surgery Associates Inc
- University Primary Care Practices
- University Primary Care Practices
- University Primary Care Practices
- University Primary Care Practices Inc
- University Primary Care Practices Inc
- University Primary Care Practices Inc
- University Primary Care Practices Inc
- University Primary Care Practices Inc
All providers in Cleveland, OH · Multi-Specialty Clinic/Center in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.