University Primary Care Practices Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

UNIVERSITY PRIMARY CARE PRACTICES INC

Practice address

26250 Euclid Ave Ste 201
Euclid, OH 44132-3691

Phone

(216) 289-2221

Fax

(216) 289-7285

NPI assigned

Jun 1, 2007

Organization subpart

No

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 1

Addresses

Other names 1

• Sundaresh Pediatrics Other name

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": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1821290842",
    "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": "216-289-2221",
            "fax_number": "216-289-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26250 EUCLID AVE STE 201",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323691",
            "telephone_number": "216-289-2221",
            "fax_number": "216-289-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PRIMARY CARE PRACTICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2010-04-08",
        "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": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sundaresh Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• University Primary Care Practices
• University Primary Care Practices
• University Primary Care Practices
• University Primary Care Practices Inc
• University Primary Care Practices Inc
• University Primary Care Practices Inc
• University Primary Care Practices Inc.
• Jeremiah Uter
• Sheila Uter, LPN
• Valencia Walton

• All providers in Euclid, OH
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.

Verify at the official NPI Registry.