University Hospitals Medical Group, Inc.
Organization Active NPI Urology Physician · Mentor, OH
NPI 1891008256 · NPPES record last updated Jul 14, 2010
Key facts
- NPI
- 1891008256
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- Legal business name
- UNIVERSITY HOSPITALS MEDICAL GROUP, INC.
- Practice address
- 9000 Mentor Ave
Suite 209
Mentor, OH 44060-4496 - Phone
- (440) 974-4403
- NPI assigned
- Jul 14, 2010
- Organization subpart
- No
Authorized official
- Name
- Larry McElroy
- Title
- Controller
- Phone
- (216) 383-6756
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Univ Hosp Medical Group
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician |
2084N0400X | OH | ||
| Urology Physician |
208800000X | OH | Yes |
Addresses
Primary practice location
9000 Mentor Ave
Suite 209
Mentor, OH 44060-4496
Mailing address
24701 Euclid Ave
3Rd Floor
Euclid, OH 44117-1714
Phone (216) 383-6616
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2691903 | Medicaid | OH |
Other providers in Mentor, OH
- Union Eye Care Center, Inc.
- University Hospital Medical Group, Inc.
- University Hospitals Cleveland Medical Center
- University Hospitals Medical Group, Inc.
- University Hospitals Medical Group, Inc.
- University Mednet Inc.
- University Primary Care Practices
- University Primary Care Practices
- University Primary Care Practices Inc
- University Primary Care Practices Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.