University Primary Care Practices Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

UNIVERSITY PRIMARY CARE PRACTICES INC

Practice address

3909 Orange PL Ste 2100
Beachwood, OH 44122-8400

Phone

(216) 896-1800

Fax

(216) 896-1801

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Steve Riddle

Title

Directior of Billing Services

Phone

(216) 383-6480

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• UHHS CHAGRIN HIGHLANDS URGENT CARE 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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1912088501",
    "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": "216-896-1800",
            "fax_number": "216-896-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 ORANGE PL STE 2100",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441228400",
            "telephone_number": "216-896-1800",
            "fax_number": "216-896-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PRIMARY CARE PRACTICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "DIRECTIOR OF BILLING SERVICES",
        "authorized_official_telephone_number": "216-383-6480"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2204108",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UHHS CHAGRIN HIGHLANDS URGENT CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• University Primary Care Practices Inc
• University Primary Care Practices Inc
• University Primary Care Practices Inc
• University Primary Care Practices Inc
• University Primary Care Practices Inc
• Breyon Upton
• Caitlin Marie Urdiales, MA, LPCC
• Fnu Urusa Mohammed Khaled
• Wulf Hessel Utian, M.D.,PH.D.,D.SC.
• Neil Vaiselberg

• Urgent Care Clinic/Center in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Urgent Care Clinic/Center 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.