Active NPI
University Primary Care Practices Inc
- Obstetrics & Gynecology Physician
- Mentor, OH
National Provider Identifier
1457488207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- UNIVERSITY PRIMARY CARE PRACTICES INC
- Practice address
- 9000 Mentor Ave Ste 215
Mentor, OH 44060-4496 - Phone
- (440) 205-5870
- Fax
- (440) 205-5881
- NPI assigned
- Feb 28, 2007
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
9000 Mentor Ave Ste 215
Mentor, OH 44060-4496
Mailing address
PO Box 8792
Belfast, ME 04915-8792
Phone (440) 205-5870
Other names 1
- UHMP - SAMIR AHUJA
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 DirectoryLocations
9000 Mentor Ave
Ste 215
Mentor, OH 44060
Phone (440) 205-5870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271030400000",
"number": "1457488207",
"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": "440-205-5870",
"fax_number": "440-205-5881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 MENTOR AVE STE 215",
"city": "MENTOR",
"state": "OH",
"postal_code": "440604496",
"telephone_number": "440-205-5870",
"fax_number": "440-205-5881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY PRIMARY CARE PRACTICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2010-04-12",
"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": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "UHMP - SAMIR AHUJA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mentor, OH
- 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
- University Primary Care Practices Inc.
- University Primary Care Practices, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.