University Hospitals Medical Group

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

UNIVERSITY HOSPITALS MEDICAL GROUP

Practice address

5850 Landerbrook Dr
Suite 306
Mayfield Heights, OH 44124-6531

Phone

(216) 844-3601

Fax

(216) 844-7117

NPI assigned

Jun 18, 2009

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 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1265669196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 WARRENSVILLE CENTER RD",
            "address_2": "MSC9152",
            "city": "SHAKER HTS",
            "state": "OH",
            "postal_code": "441225203",
            "telephone_number": "216-286-6299",
            "fax_number": "216-286-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 LANDERBROOK DR",
            "address_2": "SUITE 306",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441246531",
            "telephone_number": "216-844-3601",
            "fax_number": "216-844-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HOSPITALS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2691903",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Giorgi Tserediani, MD
• Marina Gritsik Tudico, P.A.
• Saba Nafis Uddin, MSN
• Chessy S Umbel, AU.D.
• Joseph Ungvary
• University Hospitals Medical Group
• University Hospitals Medical Practices Inc
• Upstar Mental Health Services LLC
• Upstar Mental Health Services LLC
• Tatiana Ivana Valdez, RD, LD

• All providers in Mayfield Heights, OH
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.