Organization Active NPI

University Hospitals Medical Group

Multi-Specialty Clinic/Center
Westlake, OH

National Provider Identifier

1285877225

Registry record updated Jun 17, 2009

On this page

Key facts
NPPES NPI Registry
National Provider Directory
NPI Registry JSON
Other providers in Westlake, OH
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name: UNIVERSITY HOSPITALS MEDICAL GROUP
Practice address: 950 Clague Rd
BLDG B
Westlake, OH 44145-1503
Phone: (216) 286-6299
NPI assigned: Apr 7, 2009
Organization subpart: No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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 15

Specialty (taxonomy)	Code	Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP	152W00000X
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP	207L00000X
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP	207N00000X
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP	207P00000X
Clinical Genetics (M.D.) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP	207SG0201X
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP	207T00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP	207W00000X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP	207X00000X
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP	207Y00000X
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP	207ZP0102X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP	208000000X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP	2085R0202X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP	208600000X
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP	208800000X
Multi-Specialty Clinic/Center	261QM1300X	Primary

Addresses

Primary practice location

950 Clague Rd
BLDG B
Westlake, OH 44145-1503

Mailing address

3605 Warrensville Center Rd
MSC 9152
Shaker Heights, OH 44122
Phone (216) 286-6299

Other identifiers 1

Identifier	Type	State	Issuer
2691903	Medicaid	OH

National Provider Directory

Locations

950 Clague Rd
Bldg B
Westlake, OH 44145
Phone (216) 286-6299

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1285877225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 WARRENSVILLE CENTER RD",
            "address_2": "MSC 9152",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "44122",
            "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": "950 CLAGUE RD",
            "address_2": "BLDG B",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451503",
            "telephone_number": "216-286-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HOSPITALS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-06-17",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2691903",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.