NPIMap

University Hospitals Medical Group, Inc.

Organization Active NPI Surgery Physician · Twinsburg, OH

NPI 1992036503 · NPPES record last updated Apr 1, 2022

Key facts

NPI
1992036503
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
Legal business name
UNIVERSITY HOSPITALS MEDICAL GROUP, INC.
Practice address
8819 Commons Blvd
2ND Floor-Suite 200
Twinsburg, OH 44087-2177
Phone
(216) 844-3013
NPI assigned
Jan 21, 2010
Organization subpart
No

Authorized official

Name
Dr. Christopher Miller, MD
Title
Cmo
Phone
(513) 558-8090

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Univ Hosp Medical Group (140 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208600000X OH Yes

Addresses

Primary practice location

8819 Commons Blvd
2ND Floor-Suite 200
Twinsburg, OH 44087-2177

Mailing address

3605 Warrensville Center Rd
1St Floor
Shaker HTS, OH 44122-5203
Phone (216) 286-6260

Other identifiers

IdentifierTypeStateIssuer
2691903MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 1, 2022.

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1992036503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 WARRENSVILLE CENTER RD",
            "address_2": "1ST FLOOR",
            "city": "SHAKER HTS",
            "state": "OH",
            "postal_code": "441225203",
            "telephone_number": "216-286-6260",
            "fax_number": "216-286-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8819 COMMONS BLVD",
            "address_2": "2ND FLOOR-SUITE 200",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872177",
            "telephone_number": "216-844-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HOSPITALS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "513-558-8090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2691903",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twinsburg, OH

All providers in Twinsburg, OH · Surgery Physician in Ohio

Sources for this page

Verify at the official NPI Registry.