| University Hospitals Regional Practices LLC | |
|
3605 Warrensville Center Rd Shaker Heights OH 44122-5203 | |
| (216) 358-1424 | |
| (216) 201-4272 |
| Full Name | University Hospitals Regional Practices LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 3605 Warrensville Center Rd, Shaker Heights, Ohio |
| Authorized Official Name and Position | Christopher Miller (CMO) |
| Authorized Official Contact | 5135588090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Hospitals Regional Practices LLC Po Box 772928 Detroit MI 48277-2937 Ph: (800) 589-6006 | University Hospitals Regional Practices LLC 3605 Warrensville Center Rd Shaker Heights OH 44122-5203 Ph: (216) 358-1424 |
| NPI Number | 1336602218 |
|---|---|
| Provider Enumeration Date | 04/09/2019 |
| Last Update Date | 08/04/2023 |
| Certification Date | 08/04/2023 |
| Medicare PECOS PAC ID | 3779818638 |
|---|---|
| Medicare Enrollment ID | O20190715001865 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336602218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Vojislav G Topalsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861493678 PECOS PAC ID: 3678461621 Enrollment ID: I20040317000041 |
| Provider Name | Ashok K Dayal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134174485 PECOS PAC ID: 3274520812 Enrollment ID: I20040427000774 |
| Provider Name | Rajendra Kumar Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710060215 PECOS PAC ID: 7618964842 Enrollment ID: I20040429001264 |
| Provider Name | Haitham M Azem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417967118 PECOS PAC ID: 7618969650 Enrollment ID: I20040708000000 |
| Provider Name | Matthew Pawlicki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619978384 PECOS PAC ID: 0446225437 Enrollment ID: I20040901001031 |
| Provider Name | Teresa M Coyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457455149 PECOS PAC ID: 3173571395 Enrollment ID: I20050104001125 |
| Provider Name | Karim Razmjouei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518935279 PECOS PAC ID: 2668423328 Enrollment ID: I20050210000099 |
| Provider Name | Nancy Ogden Beller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598864423 PECOS PAC ID: 2264485457 Enrollment ID: I20050228000931 |
| Provider Name | Sharon Lynn Scully |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609837582 PECOS PAC ID: 2365480696 Enrollment ID: I20050419000006 |
| Provider Name | Michael J Hungerman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982681938 PECOS PAC ID: 7315987195 Enrollment ID: I20050620000836 |
| Provider Name | Pamela L Lancaster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669428769 PECOS PAC ID: 8820018773 Enrollment ID: I20051206001057 |
| Provider Name | Erin Michae Hillard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083712319 PECOS PAC ID: 5890700678 Enrollment ID: I20060215000530 |
| Provider Name | Ghassan F Haddad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730286568 PECOS PAC ID: 9537259478 Enrollment ID: I20071217000207 |
| Provider Name | Bowman S Beeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548447931 PECOS PAC ID: 9436237914 Enrollment ID: I20080424000091 |
| Provider Name | Leslie Z Vidmar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033240031 PECOS PAC ID: 5698846442 Enrollment ID: I20080623000016 |
| Provider Name | David C Parris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154403921 PECOS PAC ID: 9436214970 Enrollment ID: I20090216000511 |
| Provider Name | Cheryl a Tatka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366695884 PECOS PAC ID: 8628121068 Enrollment ID: I20090731000501 |
| Provider Name | Lori a Margevicius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578747788 PECOS PAC ID: 5597805960 Enrollment ID: I20091215000535 |
| Provider Name | Chenguttai J Manohar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194805374 PECOS PAC ID: 4284769100 Enrollment ID: I20100317000842 |
| Provider Name | Matthew M Mark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881782936 PECOS PAC ID: 9436284205 Enrollment ID: I20100318000273 |
| Provider Name | Anju S Lele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558467423 PECOS PAC ID: 3870629355 Enrollment ID: I20100414000196 |
| Provider Name | Shreeniwas Lele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568568426 PECOS PAC ID: 5193852630 Enrollment ID: I20100415000015 |
| Provider Name | Tiffany C Thomas-lakia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295948198 PECOS PAC ID: 9638209117 Enrollment ID: I20100609000726 |
| Provider Name | Helen L Haffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851602890 PECOS PAC ID: 1850424383 Enrollment ID: I20100804000060 |
| Provider Name | Manjot Kang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427057207 PECOS PAC ID: 2860465382 Enrollment ID: I20110119000299 |
| Provider Name | Elizabeth a Newsome |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144587262 PECOS PAC ID: 1850554528 Enrollment ID: I20120516000107 |
| Provider Name | David Blech |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396081964 PECOS PAC ID: 7810134046 Enrollment ID: I20130508000087 |
| Provider Name | Michael S Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952746067 PECOS PAC ID: 5597907873 Enrollment ID: I20130815000821 |
| Provider Name | Marilyn J Marschall-rowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467885079 PECOS PAC ID: 8820232580 Enrollment ID: I20130918000750 |
| Provider Name | Evan C Howe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013208438 PECOS PAC ID: 5395975882 Enrollment ID: I20140807002663 |
| Provider Name | Karen M Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649689639 PECOS PAC ID: 9436377421 Enrollment ID: I20140904002616 |
| Provider Name | Jayne Murphy-bryner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851792196 PECOS PAC ID: 4082835426 Enrollment ID: I20141028000967 |
| Provider Name | Seth D Levine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174754659 PECOS PAC ID: 9931422383 Enrollment ID: I20150224001769 |
| Provider Name | David Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962768556 PECOS PAC ID: 8628383668 Enrollment ID: I20150819008395 |
| Provider Name | Ashley K Georger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487025607 PECOS PAC ID: 0648574517 Enrollment ID: I20160212002072 |
| Provider Name | Kimberly a Ovalle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568753804 PECOS PAC ID: 3072800515 Enrollment ID: I20160927000634 |
| Provider Name | Ali Marie Acker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174076962 PECOS PAC ID: 1355629049 Enrollment ID: I20161101000619 |
| Provider Name | Sarah E Tutolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619401577 PECOS PAC ID: 1456628585 Enrollment ID: I20170522000836 |
| Provider Name | Saida D Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043669658 PECOS PAC ID: 6800166711 Enrollment ID: I20170726002056 |
| Provider Name | Carrie L Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841715737 PECOS PAC ID: 6103191895 Enrollment ID: I20171005001769 |
| Provider Name | Kellimarie Hay |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235643412 PECOS PAC ID: 3971862558 Enrollment ID: I20180108000986 |
| Provider Name | Tyler Popil |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235638263 PECOS PAC ID: 4082975073 Enrollment ID: I20180308001756 |
| Provider Name | Ann Loucks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831695931 PECOS PAC ID: 0840545794 Enrollment ID: I20180615002566 |
| Provider Name | Kevin Michael Okapal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235526773 PECOS PAC ID: 9032414768 Enrollment ID: I20180625003172 |
| Provider Name | Christopher Lee Champion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871099549 PECOS PAC ID: 9830447234 Enrollment ID: I20180904001228 |
| Provider Name | Amanda Iliano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538647920 PECOS PAC ID: 6507116795 Enrollment ID: I20180910001975 |
| Provider Name | Alison L Dubasak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053887166 PECOS PAC ID: 3971840109 Enrollment ID: I20190125003018 |
| Provider Name | Christopher Joseph Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427579283 PECOS PAC ID: 3274860952 Enrollment ID: I20190805001650 |
| Provider Name | Alexander Asaturyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043590474 PECOS PAC ID: 9739513250 Enrollment ID: I20191216002199 |
| Provider Name | Linda M Capwill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992349575 PECOS PAC ID: 8325472780 Enrollment ID: I20191218002055 |
| Provider Name | Anthony Miniaci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679073001 PECOS PAC ID: 4789930843 Enrollment ID: I20200810001734 |
| Provider Name | Robert Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013680537 PECOS PAC ID: 2668879867 Enrollment ID: I20210929003579 |
| Provider Name | Patricia K Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700548344 PECOS PAC ID: 5395134290 Enrollment ID: I20211115002879 |
| Provider Name | Amanda Lynn Kinsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629733845 PECOS PAC ID: 0345630174 Enrollment ID: I20211209000554 |
| Provider Name | Svetlana Shmigelskyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952052730 PECOS PAC ID: 5193106706 Enrollment ID: I20220713003324 |
| Provider Name | Elaina Bohanon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336860642 PECOS PAC ID: 1355719444 Enrollment ID: I20221121002611 |
| Provider Name | Matthew Scott Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396453684 PECOS PAC ID: 9537532973 Enrollment ID: I20230306000238 |
| Provider Name | Mary Therese Bargmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306540976 PECOS PAC ID: 7113383373 Enrollment ID: I20230515002118 |
| Provider Name | Riley a Gurreri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275162091 PECOS PAC ID: 2163853532 Enrollment ID: I20230922000904 |
| Provider Name | Sierra C Gausha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952965386 PECOS PAC ID: 7214326990 Enrollment ID: I20240514000380 |
| Provider Name | Kelly M Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447026422 PECOS PAC ID: 5991147563 Enrollment ID: I20240528003168 |
| Provider Name | Daniel William Rankin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881569903 PECOS PAC ID: 5193216356 Enrollment ID: I20251114003230 |
| Provider Name | Kelsey Bina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760353684 PECOS PAC ID: 4981199007 Enrollment ID: I20251216004058 |
Alliant Treatment Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3535 Lee Rd, Shaker Heights, OH 44120 Phone: 216-417-6166 |
Alliant Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3535 Lee Road, Shaker Heights, OH 44120 Phone: 216-417-6166 Fax: 216-417-8676 |
Wingspan Care Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22001 Fairmount Blvd, Shaker Heights, OH 44118 Phone: 216-320-8222 |
Wingspan Care Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22001 Fairmount Blvd, Shaker Heights, OH 44118 Phone: 216-320-8222 Fax: 216-320-8733 |
Mdconsult, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20775 S Woodland Rd, Shaker Heights, OH 44122 Phone: 440-536-6759 Fax: 216-751-0206 |
Uhmp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3605 Warrensville Center Rd, Shaker Heights, OH 44122 Phone: 216-383-6776 Fax: 216-383-6745 |