Active NPI
University Primary Care Practices Inc
Doing business as Western Reserve Physicians
- Family Medicine Physician
- Hudson, OH
National Provider Identifier
1740481357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- UNIVERSITY PRIMARY CARE PRACTICES INC
- Doing business as
- Western Reserve Physicians
- Practice address
- 5778 Darrow Rd Ste D
Hudson, OH 44236-3808 - Phone
- (330) 655-2161
- Fax
- (330) 650-2116
- NPI assigned
- May 30, 2007
- Last updated
- Apr 9, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OH | Primary | |
| Internal Medicine Physician | 207R00000X | OH |
Addresses
Primary practice location
5778 Darrow Rd Ste D
Hudson, OH 44236-3808
Mailing address
PO Box 8792
Belfast, ME 04915-8792
Phone (330) 655-2161
Other names 1
- WESTERN RESERVE PHYSICIANS
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 DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270771200000",
"number": "1740481357",
"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": "330-655-2161",
"fax_number": "330-650-2116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5778 DARROW RD STE D",
"city": "HUDSON",
"state": "OH",
"postal_code": "442363808",
"telephone_number": "330-655-2161",
"fax_number": "330-650-2116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY PRIMARY CARE PRACTICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-30",
"last_updated": "2010-04-09",
"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": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WESTERN RESERVE PHYSICIANS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hudson, OH
- Susan Belle Ujvari, LPN
- Unity Health Network, LLC
- University Hospital Medical Group, Inc.
- University Hospitals Medical Group
- University Hospitals Medical Group, Inc
- University Primary Care Practices Inc (Western Reserve Heart Care)
- Van Hala Dental Hudson, LLC
- Hannah Kate Van Meter, BCBA
- Rachel Varga
- Dawn Verdouw
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.