UNIVERSITY HOSPITALS MEDICAL GROUP, INC. (NPI# 1619108735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619108735 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY HOSPITALS MEDICAL GROUP, INC. |
| Practice Address |
3700 Kolbe Rd Lorain OH 44053-1611 |
| Mailing Address |
3605 Warrensville Center Rd 1st Floor Shaker Hts OH 44122-5203 |
| Practice Telephone | 2168445770 |
| Mailing Telephone | 2162866260 |
| Mailing Fax Number | 2162866341 |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |
| Authorized Official Name | LARRY MCELROY (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 2167678717 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 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 |
3700 KOLBE RD |
| City | LORAIN |
| State | OH |
| Zip Code | 44053-1611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841291341 | Michael J. Choban | Anesthesiology | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2005-08-09 |
| 1972126381 | Mercy Health Physicians Lorain Specialty Care LLC | Allergy & Immunology | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2020-05-20 |
| 1407479082 | Cory Jarosi | Student in an Organized Health Care Education/Training Program | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2020-05-18 |
| 1760015341 | Mariam E Henderson-rucker | Social Worker | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2020-02-21 |
| 1942843735 | Jeffery Daniel Linscheid | Student in an Organized Health Care Education/Training Program | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2019-10-24 |
| 1639729809 | Allison Marie Olenik | Occupational Therapist | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2019-09-18 |
| 1528615929 | Merna Akram Wilson | Nurse Practitioner | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2019-08-20 |
| 1225684707 | Emma Grace Haas | Occupational Therapist | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2019-08-12 |
| 1669032280 | Theodore Michael Turner IIi | Nurse Practitioner | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2019-06-17 |
| 1619535150 | Angela Anne Shay | Nurse Practitioner | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2019-05-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242196 | Yokita Maria Thomas | Homemaker | 4818 Ashland Ave, Lordin, OH 44053 | 2020-10-14 |
| 1497353445 | Matthew George Simkovich | Homemaker | 4366 Jenee Dr, Lorain, OH 44053 | 2020-10-13 |
| 1881229979 | Christine Wilson | Physical Therapist | 5940 Oak Point Rd., Lorain, Lorain, OH 44053 | 2020-03-09 |
| 1912538760 | Barry Delaney Masin | Student in an Organized Health Care Education/Training Program | 2704 West Erie Avenue, Lorain, OH 44053 | 2020-01-30 |
| 1275171399 | Martina Beato | Social Worker | The Nord Center 6140 S. Broadway, Lorain, OH 44053 | 2019-12-19 |
| 1285279802 | Tivan LLC | Non-emergency Medical Transport (VAN) | 5821 Williamsburg Dr., Lorain, OH 44053 | 2019-11-07 |
| 1023650843 | Candace Taber | Case Manager/Care Coordinator | 6140 South Broadway, Lorain, OH 44053 | 2019-10-14 |
| 1265956098 | Phillip H Emerson | Social Worker | 1740 Cooper Foster Park Road East, Lorain, OH 44053 | 2017-08-02 |
| 1447796750 | Kafilat Idowu Kelani | Nurse Practitioner | 3700 Kolbe Rd, Lorain, Lorain, OH 44053 | 2017-01-10 |
| 1083075808 | Mark B Applegate | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-08 |
| Find all providers in zip 44053 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669589743 | Alexander Francis Zolli | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2173 N Ridge Rd E, Suite A, Lorain, OH 44055-3400 | 2006-08-24 |
| 1467553206 | Center for Vascular and Thoracic Medicine and Surgery, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2173 N Ridge Rd E, Suite A, Lorain, OH 44055-3400 | 2006-09-26 |
| 1841218955 | Jason M Robke | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3600 Kolbe Rd Ste 109, Lorain, OH 44053-1652 | 2006-07-17 |
| 1972577187 | Haysam M El Dalati | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3600 Kolbe Rd, Suite 227, Lorain, OH 44053-1654 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003371188 | Christina Marie Babbs | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 48 Executive Dr Ste C, Norwalk, OH 44857-2492 | 2019-02-04 |
| 1265911234 | Andres Jadue | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3312 Aberdeen Rd, Shaker Heights, OH 44120-3328 | 2018-08-10 |
| 1598259863 | Bhalinder Dhaliwal | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Cleveland Clinic 9500, Euclid Avenue/na-23, Cleveland, OH 44195-0001 | 2018-06-19 |
| 1205348307 | Antonio Panza | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Department of Surgery 231 Albert Sabin Way, Cincinnati, OH 45267-0001 | 2017-10-30 |
| 1366972432 | Per Wierup | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9500 Euclid Ave # Deskj4-1, Cleveland, OH 44195-0001 | 2017-06-12 |
| 1952776247 | Hani Kamal Najm | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9500 Euclid Ave # M41-02, Cleveland, OH 44195-0001 | 2015-12-11 |
| 1205202967 | Anurag Kaw | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27020 Cedar Rd Apt 406, Beachwood, OH 44122-1133 | 2015-08-18 |
| 1760872659 | John Albers | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 16 Diplomat Dr, Cincinnati, OH 45215-2073 | 2015-01-29 |
| 1508205048 | Shrey Patel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9500 Euclid Ave Ste J4-1, Cleveland, OH 44195-1994 | 2013-06-18 |
| 1457797847 | Charles D. Shook | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 718 Glendale Blvd, Mansfield, OH 44907-2226 | 2013-05-13 |
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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.