| Michelle Grove, CNM | |
| 910 Liberty Bell Dr, Amherst, OH 44001-1234 | |
| (440) 989-5111 | |
| (440) 989-5123 | 
| Full Name | Michelle Grove | 
|---|---|
| Gender | Female | 
| Speciality | Advanced Practice Midwife | 
| Location | 910 Liberty Bell Dr, Amherst, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1164484671 | NPI | - | NPPES | 
| 0224108 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | COANM01690 (Ohio) | Primary | 
| Entity Name | University Primary Care Practices Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 | 
| Entity Name | University Hospitals Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michelle Grove, CNM 910 Liberty Bell Dr, Amherst, OH 44001-1234 Ph: (440) 989-5111 | Michelle Grove, CNM 910 Liberty Bell Dr, Amherst, OH 44001-1234 Ph: (440) 989-5111 | 
| Patricia J Lupe, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 910 Liberty Bell Dr, Amherst, OH 44001 Phone: 440-989-5111 Fax: 440-989-5123 | |
| Laurie Galvan, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 910 Liberty Bell Dr, Amherst, OH 44001 Phone: 440-989-5111 Fax: 440-989-5123 | |
| Darla Mitchell, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 910 Liberty Bell Dr, Amherst, OH 44001 Phone: 440-989-5111 | |
| Ms. Heather Ann Bruderer, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 578 N Leavitt Rd, Amherst, OH 44001 Phone: 440-960-3912 Fax: 440-960-3913 |