Provider Type Icon

UNIVERSITY HOSPITALS MEDICAL GROUP INC NPI 1811212913


NPI Information

NPI: 1811212913
Provider Name: UNIVERSITY HOSPITALS MEDICAL GROUP, INC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
11100 EUCLID AVE
BOLWELL, 6TH FLOOR
CLEVELAND, OH
ZIP 44106
Phone: (216) 286-6296
Get Directions

UNIVERSITY HOSPITALS MEDICAL GROUP, INC is a hematology and oncology internal medicine in Cleveland, OH. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. UNIVERSITY HOSPITALS MEDICAL GROUP, INC NPI is 1811212913. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11100 EUCLID AVE
BOLWELL, 6TH FLOOR
CLEVELAND, OH
ZIP 44106-716
Phone: (216) 286-6296
Fax: (216) 286-6341

The provider's authorized official is Larry Mcelroy .
The authorized official title is Controller and has the following contact phone number (216) 383-6756.

The enumeration date for this NPI number is 3/31/2010 and was last updated on 3/31/2010.


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
1363L00000XNurse PractitionerOHIONo
2364SX0200XClinical Nurse SpecialistOncologyOHIONo
3207RH0003XInternal MedicineHematology & OncologyOHIOYes

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
12691903MEDICAIDOHIO
2UN9364361MEDICARE PINOHIO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.