NPIMap

Organization Active NPI

University Primary Care Practices, Inc.

Doing business as UH North Olmsted Health Center

  • Orthopaedic Surgery Physician
  • North Olmsted, OH
National Provider Identifier
1184366288
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
UNIVERSITY PRIMARY CARE PRACTICES, INC.
Doing business as
UH North Olmsted Health Center
University Hospitals Medical Practices
Practice address
26127 Lorain Rd Ste 200B
North Olmsted, OH 44070-2741
Phone
(440) 329-2800
Fax
(440) 329-2810
NPI assigned
Apr 9, 2022
Last updated
Jun 13, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY PRIMARY CARE PRACTICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Donald Decarlo
Title
Cmo, East Market
Phone
(440) 285-2950

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Physical Therapy Clinic/Center 261QP2000X
Rehabilitation Clinic/Center 261QR0400X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

26127 Lorain Rd Ste 200B
North Olmsted, OH 44070-2741

Mailing address

PO Box 772928
Detroit, MI 48277-2928

Other names 2

  • UH North Olmsted Health Center Doing business as
  • University Hospitals Medical Practices Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220520000922 OH DME Supplier - Multi-Specialty - Physician 3072417534 Practice locations: North Olmsted, OH

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Upcp Mentor Urgent Care74 organizations share this tax ID, including this one
Part of
Upcp Mentor Urgent Care

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1649462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1184366288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772928",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26127 LORAIN RD STE 200B",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702741",
            "telephone_number": "440-329-2800",
            "fax_number": "440-329-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PRIMARY CARE PRACTICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY PRIMARY CARE PRACTICES, INC.",
        "enumeration_date": "2022-04-09",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "DECARLO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CMO, EAST MARKET",
        "authorized_official_telephone_number": "440-285-2950"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UH North Olmsted Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University Hospitals Medical Practices",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.