University Primary Care Practices Inc
Organization Active NPI Internal Medicine Physician · Westlake, OH
NPI 1295857423 · NPPES record last updated Aug 22, 2018
Key facts
- NPI
- 1295857423
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- UNIVERSITY PRIMARY CARE PRACTICES INC
- Practice address
- 26908 Detroit Rd Ste 200
Westlake, OH 44145 - Phone
- (440) 250-8660
- Fax
- (440) 250-8639
- NPI assigned
- Apr 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Cliff A Megerian, MD
- Title
- President of Uh Physician Services
- Phone
- (216) 844-5500
Practitioners 5
-
Raymond P Bermea, MD
-
John M Craker, CRNA
-
Isabelle Escano Lane, D.O.
-
Scott W Mabee, MD
-
Abraham Sayon, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0969246 | Uh - Westshore Primary Care - Family | Provider-performed microscopy | Jul 26, 2027 |
| 36D1039353 | Uh - Westshore Primary Care - Westlake | Provider-performed microscopy | Apr 11, 2027 |
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
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
26908 Detroit Rd
Ste 100
Westlake, OH 44145
Phone (440) 827-5677
26908 Detroit Rd
Ste 200
Westlake, OH 44145
Phone (440) 871-6060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | OH | Yes |
Addresses
Primary practice location
26908 Detroit Rd Ste 200
Westlake, OH 44145
Mailing address
PO Box 8792
Belfast, ME 04915-8792
Phone (440) 559-1024
Other names
- UH Westshore Primary Care
Other providers in Westlake, OH
- University Primary Care Practices
- 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
- University Primary Care Practices, Inc.
All providers in Westlake, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2018. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.