University Hospital Medical Group, Inc.

Organization Active NPI Multi-Specialty Clinic/Center · Mentor, OH

NPI 1689900904 · NPPES record last updated Oct 21, 2009

Key facts

NPI
1689900904
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
UNIVERSITY HOSPITAL MEDICAL GROUP, INC.
Practice address
9000 Mentor Ave
Mentor, OH 44060-4496
Phone
(216) 844-1000
NPI assigned
Oct 21, 2009
Organization subpart
No

Authorized official

Name
Larry McElroy
Title
Vice President of Finance
Phone
(216) 767-8717

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Univ Hosp Medical Group (140 organizations share this tax ID)

Locations

9000 Mentor Ave
Mentor, OH 44060
Phone (440) 255-0800

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207L00000X OH
Pain Medicine (Anesthesiology) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207LP2900X OH
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207V00000X OH
Ophthalmology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207W00000X OH
Plastic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208200000X OH
Diagnostic Radiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2085R0202X OH
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208600000X OH
Multi-Specialty Clinic/Center 261QM1300X OH Yes

Addresses

Primary practice location

9000 Mentor Ave
Mentor, OH 44060-4496

Mailing address

3605 Warrensville Center Rd
1St Floor
Shaker HTS, OH 44122-5203
Phone (216) 286-6260

Other identifiers

IdentifierTypeStateIssuer
2691903MedicaidOH

Other providers in Mentor, OH

All providers in Mentor, OH · Multi-Specialty Clinic/Center in Ohio

Sources for this page

Verify at the official NPI Registry.