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University Primary Care Practices, Inc.

Organization Active NPI Orthopaedic Surgery Physician · North Olmsted, OH

NPI 1184366288 · NPPES record last updated Jun 13, 2024

Key facts

NPI
1184366288
Entity type
Organization (NPI type 2)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
Legal business name
UNIVERSITY PRIMARY CARE PRACTICES, INC.
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
Organization subpart
Yes
Parent organization (as reported)
UNIVERSITY PRIMARY CARE PRACTICES, INC.

Authorized official

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

Other NPIs with the same Medicare PAC ID 5

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

Corporate family (same tax ID) 24

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

Practitioners 1,071

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

View all 1,071

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH

Medicare enrollment records

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

National Provider Directory

Tax ID family
Ge University Primary C (74 organizations share this tax ID)
Part of
Ge University Primary C

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207X00000X Yes
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

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

Other providers in North Olmsted, OH

All providers in North Olmsted, OH · Orthopaedic Surgery Physician in Ohio

Sources for this page

Verify at the official NPI Registry.