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UNIVERSITY HOSPITALS MEDICAL PRACTICES INC NPI 1689885170


NPI Information

NPI: 1689885170
Provider Name: UNIVERSITY HOSPITALS MEDICAL PRACTICES INC

Doing Business As: NORTHEST PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 36D2283394

Address:
4212 STATE ROUTE 306 STE 304
WILLOUGHBY, OH
ZIP 44094
Phone: (440) 946-7391
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UNIVERSITY HOSPITALS MEDICAL PRACTICES INC is a pediatrics in Willoughby, OH. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. UNIVERSITY HOSPITALS MEDICAL PRACTICES INC NPI is 1689885170. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northest Pediatrics.

The provider's business location address is:

4212 STATE ROUTE 306 STE 304
WILLOUGHBY, OH
ZIP 44094-248
Phone: (440) 946-7391
Fax: (440) 946-7594

The provider's authorized official is Steve Riddle .
The authorized official title is Director Of Billing Services and has the following contact phone number (216) 383-6480.

The CLIA number assigned to this NPI record is 36D2283394 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2007 and was last updated on 9/4/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10191797MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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