University Primary Care Practices Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

UNIVERSITY PRIMARY CARE PRACTICES INC

Practice address

11110 Kinsman Rd # 2
Newbury, OH 44065

Phone

(440) 564-6666

Fax

(440) 564-6665

NPI assigned

Feb 29, 2008

Last updated

Apr 12, 2010By the provider in NPPES

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

Director of Billing Services

Phone

(216) 383-6480

Specialties & licenses 1

Addresses

Other names 1

• Newbury Family Medicine Other name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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.

• Erika A Mulligan, DO

  • Internal Medicine Physician
  • Dunedin, FL
  • NPI 1124111273
  NPD (past)

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1972772390",
    "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": "440-564-6666",
            "fax_number": "440-564-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 KINSMAN RD # 2",
            "city": "NEWBURY",
            "state": "OH",
            "postal_code": "44065",
            "telephone_number": "440-564-6666",
            "fax_number": "440-564-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PRIMARY CARE PRACTICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2010-04-12",
        "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"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newbury Family Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amber Taylor, BCBA, COBA
• Dana Annette Taylor
• Robertta Thoryk, PH.D.
• Joseph Tima, DPT
• Kristie Tincher, NP
• Tia Elizabeth Vinci, M.A. CCC-SLP
• Vernell Fox Whipple
• Melissa Wilks, OTR/L
• Suzanne Williams, RPT

• Family Medicine Physician in Newbury, OH
• Providers in Newbury, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.