Organization Active NPI

United Medical Group

Doing business as United Medical Center

  • Family Medicine Physician
  • Bedford, OH
National Provider Identifier
1952777807
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNITED MEDICAL GROUP
Doing business as
United Medical Center
Practice address
22750 Rockside Rd
Bedford, OH 44146-1574
Phone
(440) 232-9800
Fax
(440) 226-8765
NPI assigned
Aug 14, 2015
Last updated
Nov 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Authorized official

Name
Dr. Abdulkarim Moukdad
Title
Ceo
Phone
(216) 372-2222

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X OH
Emergency Medicine Physician 207P00000X OH
Family Medicine Physician 207Q00000X OH Primary
Internal Medicine Physician 207R00000X OH
Pediatrics Physician 208000000X OH
Body Imaging Physician 2085B0100X OH
General Practice Physician 208D00000X OH

Addresses

Primary practice location

22750 Rockside Rd
Bedford, OH 44146-1574

Mailing address

22750 Rockside Rd
Bedford, OH 44146-1574
Phone (440) 232-9800

Other identifiers 1

IdentifierTypeStateIssuer
0144535MedicaidOH

Other names 1

  • United Medical Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1952777807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22750 ROCKSIDE RD",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441461574",
            "telephone_number": "440-232-9800",
            "fax_number": "440-226-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22750 ROCKSIDE RD",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441461574",
            "telephone_number": "440-232-9800",
            "fax_number": "440-226-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "MOUKDAD",
        "authorized_official_first_name": "ABDULKARIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-372-2222",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "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
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144535",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 2, 2015; 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.