UNIVERSITY PRIMARY CARE PRACTICES (NPI# 1578693248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578693248 |
Entity Type | Organization |
Organization Name | UNIVERSITY PRIMARY CARE PRACTICES |
Other Organization Name | PEDIATRIC CARDIOLOGY |
Practice Address |
4135 Boardman Canfield Rd # 102 Canfield OH 44406-9803 |
Mailing Address |
Po Box 74859 Cleveland OH 44194-0942 |
Practice Telephone | 3305337797 |
Practice Fax Number | 3305337760 |
Mailing Telephone | 2163836776 |
Mailing Fax Number | 2163836745 |
Enumeration Date | 2007-03-06 |
Last Update Date | 2008-02-19 |
Authorized Official Name | STEVE RIDDLE (DIRECTOR OF BILING SERVICES) |
Authorized Official Telephone | 2163836480 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
OH | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Pediatric Cardiology | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396922019 | University Primary Care Practices | Orthopaedic Surgery | 8819 Commons Blvd # 101a, Twinsburg, OH 44087-2177 | 2008-01-24 |
1770784555 | University Primary Care Practices | Neurological Surgery | 9000 Mentor Ave # 204, Mentor, OH 44060 | 2007-05-30 |
1235359381 | University Primary Care Practices | Surgery | 50 Blaine Ave Ste 2300v, Bedford, OH 44146-2709 | 2007-04-30 |
1912127150 | University Primary Care Practices | Orthopaedic Surgery | 5885 Landerbrook Dr Ste 150, Mayfield Hts, OH 44124-4031 | 2007-04-30 |
1053530204 | University Primary Care Practices | Obstetrics & Gynecology | 8900 Darrow Rd Ste 112g, Twinsburg, OH 44087-6800 | 2007-04-25 |
1770602955 | University Primary Care Practices | Obstetrics & Gynecology | 34501 Aurora Rd Ste 205, Solon, OH 44139-3831 | 2007-03-28 |
1700905304 | University Primary Care Practices | Pediatrics | 5850 Landerbrook Dr Ste 210, Mayfield Hts, OH 44124-4071 | 2007-03-28 |
1568581825 | University Primary Care Practices | Obstetrics & Gynecology | 18599 Lake Shore Blvd Ste 305, Euclid, OH 44119-1039 | 2007-03-28 |
1942328091 | University Primary Care Practices | Pediatrics | 3812 Center Rd Ste 100, Brunswick, OH 44212-3025 | 2007-03-27 |
1891813952 | University Primary Care Practices | Pediatrics | 8185 E Washington St Ste 3, Chagrin Falls, OH 44023-4574 | 2007-03-27 |
Street Address |
4135 BOARDMAN CANFIELD RD # 102 |
City | CANFIELD |
State | OH |
Zip Code | 44406-9803 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952802282 | Julie Nicole Austalosh | Case Manager/Care Coordinator | 3711 Indian Run Dr Apt 7, Canfield, OH 44406 | 2018-02-22 |
1073064887 | Abby Smith | Specialist/Technologist | 250 Lake Pointe Circle, Canfield, OH 44406 | 2016-10-17 |
1255887949 | Chris Smallwood II | Driver | 6128 St Andrews Dr, Canfield, OH 44406 | 2016-09-01 |
1831572064 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 41 Talsman Drive, Youngstown, OH 44406 | 2015-07-07 |
1568845790 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 3222 Forty Second Street, Youngstown, OH 44406 | 2015-07-07 |
1003212051 | Diane Pool | Registered Nurse | 100 Wadsworth Street, Canfield, OH 44406 | 2014-11-18 |
1215353990 | Jeanne Siverd | Occupational Therapy Assistant | 11300 Columbiana-canfield Rd., Suite E, Canfield, OH 44406 | 2014-03-05 |
1134565641 | Dema Halasa Esper | Dietitian, Registered | 52 Timber Run Dr., Canfield, OH 44406 | 2013-05-13 |
1851680615 | Kimberly Jean Fyock | Licensed Practical Nurse | 7720 Lydia Ln, Canfield, OH 44406 | 2011-04-01 |
1205060654 | Jennifer L Morris | Registered Nurse | 3787 Mercedes Place, Canfield, OH 44406 | 2009-05-13 |
Find all providers in zip 44406 |
Taxonomy Code | 2080P0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Cardiology |
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053831099 | Hannah Bostdorff | Pediatrics | Cleveland Clinic Childrens 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2017-06-21 |
1124394853 | Colleen Moran Pater | Pediatrics | 3333 Burnet Ave # Mlc2003, Cincinnati, OH 45229-3026 | 2012-03-27 |
1730461120 | Prasad Ravi | Pediatrics | 34464 Aspen Run, Apt 9, Willoughby Hills, OH 44094 | 2011-09-13 |
1386807451 | Ramzi Souki | Pediatrics | Cleveland Clinic Children's 9500 Euclid Ave/m-41, Cleveland, OH 44195-0001 | 2008-07-08 |
1104878990 | Thomas R Kimball | Pediatrics | 3333 Burnet Ave Ml 2003, Cincinnati, OH 45229-3026 | 2006-05-17 |
1720504541 | Michael Khoury | Pediatrics | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2017-08-15 |
1093246902 | William Martin Fogarty Iv | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2639 | 2017-03-22 |
1780076760 | Jacob Mathew | Pediatrics | 3333 Burnet Ave, Cardiology Dept., Cchmc, Cincinnati, OH 45229-3026 | 2015-02-27 |
1619373537 | Andrew Redington | Pediatrics | 3333 Burnet Ave, Mlc 2003, Cincinnati, OH 45229 | 2014-11-05 |
1013337096 | Kristin A. Schneider | Pediatrics | 3333 Burnet Avenue, Mlc 2003, Cincinnati, OH 45229-3039 | 2014-04-17 |
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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.