NPIMap

Organization Active NPI

Universal Medical Ancillary Services

  • Psychologist
  • Brunswick, OH
National Provider Identifier
1407129737
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
UNIVERSAL MEDICAL ANCILLARY SERVICES
Practice address
3065 Nationwide Pkwy
Brunswick, OH 44212-2361
Phone
(440) 243-5914
Fax
(440) 243-6530
NPI assigned
Feb 16, 2012
Last updated
Feb 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. David M Garnek
Title
Sole Member
Phone
(440) 243-5914

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X OH Primary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X OH

Addresses

Primary practice location

3065 Nationwide Pkwy
Brunswick, OH 44212-2361

Mailing address

3065 Nationwide Pkwy
Brunswick, OH 44212-2361
Phone (440) 243-5914

National Provider Directory

National Provider Directory

Locations

3065 Nationwide Pkwy
Brunswick, OH 44212
Phone (440) 243-5914

19530 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-7500

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1407129737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 NATIONWIDE PKWY",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442122361",
            "telephone_number": "440-243-5914",
            "fax_number": "440-243-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 NATIONWIDE PKWY",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442122361",
            "telephone_number": "440-243-5914",
            "fax_number": "440-243-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL MEDICAL ANCILLARY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "GARNEK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "440-243-5914",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.