University Primary Care Practices, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

UNIVERSITY PRIMARY CARE PRACTICES, INC.

Doing business as

UH State Road Family Medicine

Practice address

805 E Washington St Ste 100
Medina, OH 44256-3331

Phone

(330) 721-8474

Fax

(216) 201-8952

NPI assigned

Mar 5, 2007

Last updated

Mar 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janna M Kennedy

Title

Director Med Staff Services & Cred

Phone

(216) 844-2045

Specialties & licenses 2

Addresses

Other names 1

• UH State Road Family Medicine Doing business as

Locations

Practitioners 4

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.

• Mervat Aziz, MD

  • Pediatrics Physician
  • Westlake, OH
  • NPI 1538268214
  NPD (past)
• Marcia Columbro, M.D.

  • Pediatrics Physician
  • Westlake, OH
  • NPI 1851490528
  NPD (past)
• Andrew Garner, MD

  • Pediatrics Physician
  • Westlake, OH
  • NPI 1598865685
  NPD (past)
• Mary Kay Greenberg, MD

  • Pediatrics Physician
  • Westlake, OH
  • NPI 1811096571
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1497884605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772040",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772040",
            "telephone_number": "216-383-6480",
            "fax_number": "216-383-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E WASHINGTON ST STE 100",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563331",
            "telephone_number": "330-721-8474",
            "fax_number": "216-201-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PRIMARY CARE PRACTICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "JANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR MED STAFF SERVICES & CRED",
        "authorized_official_telephone_number": "216-844-2045"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UH State Road Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• University Hospitals Urgent Care, LLC (UH Medina Urgent Care)
• University Primary Care Practices Inc (Medina Pediatrics)
• University Primary Care Practices Inc (Internal Medicine Associates)
• University Primary Care Practices Inc (Medina Physicians Practices)
• University Primary Care Practices Inc (UHHS Medina Urgent Care)
• Najia Usman, D.D.S.
• Alec Uttech
• Patrick Sloan Vaccaro, CRNA
• Vagus Wellness LLC
• Jennifer Valentic, D.O.

• Family Medicine Physician in Medina, OH
• Providers in Medina, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.