University Hospitals Medical Group, Inc.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

UNIVERSITY HOSPITALS MEDICAL GROUP, INC.

Doing business as

UHMG Otolaryngology

Practice address

1611 S Green Rd Ste 146
South Euclid, OH 44121-4121

Phone

(440) 732-3923

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Joi Williams

Title

Supervisor

Phone

(440) 214-8025

Specialties & licenses 1

Addresses

Other names 1

• UHMG Otolaryngology Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1487770889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772044",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772044",
            "telephone_number": "440-732-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S GREEN RD STE 146",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441214121",
            "telephone_number": "440-732-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HOSPITALS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JOI",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "440-214-8025"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UHMG Otolaryngology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• University Hospitals Medical Group
• University Hospitals Medical Group, Inc
• University Hospitals Medical Group, Inc.
• University Hospitals Medical Group, Inc.
• University Hospitals Medical Group, Inc.
• University Hospitals Medical Group, Inc.
• University Hospitals Medical Group, Inc.
• University Hospitals Medical Group, Inc.
• University Primary Care Practices Inc
• University Primary Care Practices Inc

• Otolaryngology Physician in South Euclid, OH
• Providers in South Euclid, OH by specialty
• Otolaryngology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.

Verify at the official NPI Registry.