Active NPI
Uh Regional Hospitals
- Nurse Practitioner
- Chardon, OH
National Provider Identifier
1962886002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- UH REGIONAL HOSPITALS
- Practice address
- 13207 Ravenna Rd
Chardon, OH 44024-7032 - Phone
- (440) 285-6000
- NPI assigned
- Jul 18, 2015
- Organization subpart
- Yes
- Parent organization
- UH REGIONAL HOSPITALS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Schillero
- Title
- Director, FP&a
- Phone
- (216) 767-8141
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | Primary | ||
| Clinical Nurse Specialist | 364S00000X |
Addresses
Primary practice location
13207 Ravenna Rd
Chardon, OH 44024-7032
Mailing address
PO Box 772930
Detroit, MI 48277-2930
Phone (440) 285-6000
Other names 3
- Geauga House Providers
- UH Regional House Providers
- University Hospitals Geauga Medical Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/Documentsubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151007003021 | OH | Part B Supplier - Clinic/Group Practice | 6608978572 |
Receives reassigned benefits from 60 practitioners 3 other NPIs on this enrollment Practice locations: Chardon, OH |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Uh Regional Hospitals
Practitioners & affiliated clinicians
Practitioners 61
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Chardon, OH
- NPI 1043906332
-
- Psychiatric/Mental Health Nurse Practitioner
- Ravenna, OH
- NPI 1518740976
OH
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714348800000",
"number": "1962886002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 772930",
"city": "DETROIT",
"state": "MI",
"postal_code": "482772930",
"telephone_number": "440-285-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13207 RAVENNA RD",
"city": "CHARDON",
"state": "OH",
"postal_code": "440247032",
"telephone_number": "440-285-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UH REGIONAL HOSPITALS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UH REGIONAL HOSPITALS",
"enumeration_date": "2015-07-18",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A",
"authorized_official_last_name": "SCHILLERO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "DIRECTOR, FP&A",
"authorized_official_telephone_number": "216-767-8141"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "364S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/Documentsubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc.",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Geauga House Providers",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "UH Regional House Providers",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "University Hospitals Geauga Medical Center",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "University Hospitals Geauga Medical Center",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.