NPIMap

Organization Active NPI

University Emergency Specialists of Bedford LLC

  • Emergency Medicine Physician
  • Bedford, OH
National Provider Identifier
1760434781
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
UNIVERSITY EMERGENCY SPECIALISTS OF BEDFORD LLC
Practice address
44 Blaine Ave
Bedford, OH 44146-2709
Phone
(844) 474-4019
NPI assigned
May 17, 2006
Last updated
Feb 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Ms. Amy Charley, ESQ
Title
Chief Legal Officer
Phone
(240) 686-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

44 Blaine Ave
Bedford, OH 44146-2709

Mailing address

12420 Milestone Center Dr Ste 200
Germantown, MD 20876-7111
Phone (240) 686-2300

Other practice location 1

8819 Commons Blvd
Twinsburg, OH 44087-4101
Phone (844) 474-4019

Other identifiers 1

IdentifierTypeStateIssuer
000000162489OtherOHANTHEM

Other names 2

  • Unviersity Emergency Specialists of Bedford, Inc Former legal business name
  • Alteon Health Other name

National Provider Directory

National Provider Directory

Locations

8819 Commons Blvd
Ste 101
Twinsburg, OH 44087
Phone (330) 405-1500

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1760434781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12420 MILESTONE CENTER DR STE 200",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208767111",
            "telephone_number": "240-686-2300",
            "fax_number": "240-686-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BLAINE AVE",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462709",
            "telephone_number": "844-474-4019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8819 Commons Blvd",
            "address_purpose": "LOCATION",
            "city": "Twinsburg",
            "state": "OH",
            "postal_code": "440874101",
            "country_code": "US",
            "telephone_number": "844-474-4019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIVERSITY EMERGENCY SPECIALISTS OF BEDFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "CHARLEY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "240-686-2300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000162489",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unviersity Emergency Specialists of Bedford, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Alteon Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bedford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.