| University Hospitals Medical Group, Inc. | |
|
5850 Landerbrook Dr Suite 220 Mayfield Hts OH 44124-6531 | |
| (216) 844-7700 | |
| Not Available |
| Full Name | University Hospitals Medical Group, Inc. |
|---|---|
| Speciality | Pediatrics |
| Location | 5850 Landerbrook Dr, Mayfield Hts, Ohio |
| Authorized Official Name and Position | Christopher Miller (CMO) |
| Authorized Official Contact | 5135588090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Hospitals Medical Group, Inc. 3605 Warrensville Center Rd 1st Floor Shaker Hts OH 44122-5203 Ph: (216) 286-6260 | University Hospitals Medical Group, Inc. 5850 Landerbrook Dr Suite 220 Mayfield Hts OH 44124-6531 Ph: (216) 844-7700 |
| NPI Number | 1053649491 |
|---|---|
| Provider Enumeration Date | 11/23/2009 |
| Last Update Date | 04/01/2022 |
| Certification Date | 04/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053649491 | NPI | - | NPPES |
| 2691903 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Ohio) | Secondary |
| 208600000X | Surgery | (Ohio) | Secondary |
| 208000000X | Pediatrics | (Ohio) | Primary |
Teresa J Gutierrez, Lisw, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6009 Landerhaven Dr, Ste F, Mayfield Hts, OH 44124 Phone: 440-646-0671 Fax: 440-641-5033 | |
University Hospitals Medical Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5850 Landerbrook Dr, Suite 300, Mayfield Hts, OH 44124 Phone: 216-844-2400 | |
Therapy & Behavior Services Of Ohio Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6009 Landerhaven Dr Ste D, Mayfield Hts, OH 44124 Phone: 216-896-6310 |