Active NPI
University Primary Care Practices Inc
- Endocrinology, Diabetes & Metabolism Physician
- Westlake, OH
National Provider Identifier
1376754887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- UNIVERSITY PRIMARY CARE PRACTICES INC
- Practice address
- 29101 Health Campus Dr BLDG 2 # 295
Westlake, OH 44145-5270 - Phone
- (440) 808-5950
- Fax
- (440) 250-0363
- NPI assigned
- May 25, 2007
- Last updated
- Apr 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steve Riddle
- Title
- Director of Billing Services
- Phone
- (216) 383-6480
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | OH | Primary |
Addresses
Primary practice location
29101 Health Campus Dr BLDG 2 # 295
Westlake, OH 44145-5270
Mailing address
PO Box 8792
Belfast, ME 04915-8792
Phone (440) 808-5950
Other names 1
- ROGER PECKHAM MD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| 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
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Surgery Physician
- Middleburg HTS, OH
- NPI 1669577870
-
- Surgery Physician
- Westlake, OH
- NPI 1043410780
-
- Surgery Physician
- Cleveland, OH
- NPI 1871683748
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Golden, CO
- NPI 1598847659
-
- Surgery Physician
- Pottsville, PA
- NPI 1255380093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271203200000",
"number": "1376754887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8792",
"city": "BELFAST",
"state": "ME",
"postal_code": "049158792",
"telephone_number": "440-808-5950",
"fax_number": "440-250-0363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29101 HEALTH CAMPUS DR BLDG 2 # 295",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441455270",
"telephone_number": "440-808-5950",
"fax_number": "440-250-0363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY PRIMARY CARE PRACTICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-25",
"last_updated": "2010-04-14",
"status": "A",
"authorized_official_last_name": "RIDDLE",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "DIRECTOR OF BILLING SERVICES",
"authorized_official_telephone_number": "216-383-6480",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ROGER PECKHAM MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Westlake, OH
- University Primary Care Practices
- University Primary Care Practices
- University Primary Care Practices
- University Primary Care Practices Inc
- University Primary Care Practices Inc (UH Westshore Primary Care)
- University Primary Care Practices Inc (UH Westlake Urgent Care)
- University Primary Care Practices Inc
- University Primary Care Practices Inc (UHMP Allergists)
- University Primary Care Practices, Inc. (Center for Othopedics)
- Upma Dhingra MD LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.