University Primary Care Practices Inc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

UNIVERSITY PRIMARY CARE PRACTICES INC

Practice address

350 Hillcrest Dr
Ste 3
Ashland, OH 44805-4052

Phone

(419) 207-2502

Fax

(419) 207-2394

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Gabriel E Lader

Title

Sr Business Operations Analyst

Phone

(216) 358-2348

Specialties & licenses 1

Addresses

Other names 1

• UH QCare 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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1619004470",
    "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": "216-383-6776",
            "fax_number": "216-383-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HILLCREST DR",
            "address_2": "STE 3",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054052",
            "telephone_number": "419-207-2502",
            "fax_number": "419-207-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PRIMARY CARE PRACTICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "LADER",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SR BUSINESS OPERATIONS ANALYST",
        "authorized_official_telephone_number": "216-358-2348"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UH QCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy J Udolph, LISW-S, PCC-S
• Kaytlyn Alese Ungerer, APRN, FNP-C
• Unity RX 103 LLC
• University Hospitals Cleveland Medical Center
• University Hospitals Home Care Services Inc
• Emily Unkefer
• Allyson Valentine, AU.D.
• Catherine Irene Van Riper
• John Vansickle, LSW
• Gabriel Ellis Vaughn, MSN, RN, CNP

• Emergency Medicine Physician in Ashland, OH
• Providers in Ashland, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.