UNIVERSITY HOSPITALS MEDICAL GROUP, INC. (NPI# 1487968186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487968186 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY HOSPITALS MEDICAL GROUP, INC. |
| Practice Address |
11100 Euclid Ave B402 Cleveland OH 44106-1716 |
| Mailing Address |
24701euclid Ave Euclid OH 44117 |
| Practice Telephone | 2168443941 |
| Mailing Telephone | 2163836616 |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |
| Authorized Official Name | LARRY MCELROY (CONTROLLER) |
| Authorized Official Telephone | 2163836756 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2691903 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689959256 | University Hospitals Medical Group, Inc. | Neurological Surgery | 1000 Auburn Dr, Beachwood, OH 44122-4317 | 2011-10-14 |
| 1265751366 | University Hospitals Medical Group, Inc. | Obstetrics & Gynecology | 2061 Cornell Rd, Cleveland, OH 44106-3808 | 2010-05-28 |
| 1033342662 | University Hospitals Medical Group, Inc. | Psychiatry & Neurology | 2181 Ambleside Road, Cleveland, OH 44106 | 2009-08-31 |
| 1770714883 | University Hospitals Medical Group, Inc. | Pediatrics | 15809 Madison Rd, Middlefield, OH 44062-8409 | 2009-08-06 |
| 1609007715 | University Hospitals Medical Group, Inc. | Family Medicine | 1 David N. Myers Pkwy., Beachwood, OH 44122 | 2009-08-06 |
| 1326316522 | University Hospitals Medical Group, Inc. | Anesthesiology | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2011-12-02 |
| 1144597105 | University Hospitals Medical Group, Inc. | Urology | 11100 Euclid Ave, Suite 2500, Cleveland, OH 44106-1716 | 2011-11-18 |
| 1679850606 | University Hospitals Medical Group, Inc. | Radiology | 1000 Auburn Dr, Suite 210, Beachwood, OH 44122-4317 | 2011-11-04 |
| 1952682171 | University Hospitals Medical Group, Inc. | Internal Medicine | 4001 Carrick Dr, Suite 140, Medina, OH 44256-5387 | 2011-09-01 |
| 1871872044 | University Hospitals Medical Group, Inc. | Radiology | 8185 E Washington St, Chagrin Falls, OH 44023-4574 | 2011-08-05 |
| Street Address |
11100 EUCLID AVE B402 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44106-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899927 | Joel H. Elconin | Radiology | 11100 Euclid Ave, Ireland/seidman Radiation Oncology, Cleveland, OH 44106 | 2005-05-23 |
| 1386245207 | Dalal Hamad A Alsaggabi | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-11-06 |
| 1922609809 | Melanie Wolf | Registered Nurse | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-11-05 |
| 1093313918 | Aryn Rose Pecoraro | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-10-13 |
| 1366058331 | Harun Abukar | Registered Nurse | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-16 |
| 1205442290 | Jessica Regan | Dietitian, Registered | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-16 |
| 1740895960 | Sara Lyn Stefano | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-14 |
| 1063026052 | Meredith Barker | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-07 |
| 1124631114 | Luis Augusto Palma Dallan | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-08-28 |
| 1023621216 | Stephanie Casto | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347706 | Adeeb Oweidat | Anesthesiology | 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 | 2020-08-18 |
| 1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
| 1306466974 | Ho Jun Lee | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 | 2020-04-23 |
| 1528687837 | Shaleeka Cornelius | Student in an Organized Health Care Education/Training Program | 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 | 2020-04-16 |
| 1598393175 | Mikdat Ulas | Student in an Organized Health Care Education/Training Program | 111000 Euclid Avenue, Cleveland, OH 44106 | 2020-03-30 |
| 1790335651 | Michelle Clark | Home Health Aide | 1794 E 87th St, Cleveland, OH 44106 | 2019-09-12 |
| 1881246783 | Oziel Valdez Sanchez | Student in an Organized Health Care Education/Training Program | 11900 Euclid Ave, Cleveland, OH 44106 | 2019-07-10 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1023677259 | Moeen Al Weshah | Student in an Organized Health Care Education/Training Program | 9601 Chester Ave # 239j3, Cleveland, OH 44106 | 2019-06-11 |
| Find all providers in zip 44106 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588125942 | Kelsey C Kennedy | Obstetrics & Gynecology | A Building 2049 E 100th St, Cleveland, OH 44195-0001 | 2019-03-28 |
| 1164793105 | James Thurman | Obstetrics & Gynecology | 5160 Mouse Creek Rd Nw, Cleveland, TN 37312-3228 | 2012-01-23 |
| 1942579677 | Stanley Post | Obstetrics & Gynecology | 26371 Shaker Blvd, Cleveland, OH 44122-7113 | 2011-12-27 |
| 1265751366 | University Hospitals Medical Group, Inc. | Obstetrics & Gynecology | 2061 Cornell Rd, Cleveland, OH 44106-3808 | 2010-05-28 |
| 1720406705 | Stephanie Rose Thomas | Obstetrics & Gynecology | 2500 Metrohealth Dr, Cleveland, OH 44109-1998 | 2014-04-07 |
| 1306289145 | Cynthia Arvizo | Obstetrics & Gynecology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2013-04-11 |
| 1770719239 | Audra Jolyn Hill | Obstetrics & Gynecology | 9500 Euclid Ave # A81, Cleveland, OH 44195-0001 | 2009-06-10 |
| 1285749135 | Leroy J Dierker Jr. | Obstetrics & Gynecology | 2500 Metrohealth Dr, Mhmc-ob/gyn, Cleveland, OH 44109-1900 | 2006-08-20 |
| 1972577047 | Shobha R. Tamasker | Obstetrics & Gynecology | 8300 Hough Ave, Cleveland, OH 44103-4247 | 2006-02-15 |
| 1376516211 | David N Hackney | Obstetrics & Gynecology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-02-10 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.