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1619920659

NPI Code Detail

MEDICARE: UNIVERSITY PHYSICIANS INC

MEDICARE: UNIVERSITY PHYSICIANS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician
2	207R00000X	Internal Medicine Physician
3	207RE0101X	Endocrinology, Diabetes & Metabolism Physician
4	207RG0100X	Gastroenterology Physician
5	207RG0300X	Geriatric Medicine (Internal Medicine) Physician
6	207RH0003X	Hematology & Oncology Physician
7	207RI0200X	Infectious Disease Physician
8	207RN0300X	Nephrology Physician
9	207RC0200X	Critical Care Medicine (Internal Medicine) Physician
10	207RR0500X	Rheumatology Physician
11	2084P0800X	Psychiatry Physician
12	163WC3500X	Cardiac Rehabilitation Registered Nurse
13	163WG0100X	Gastroenterology Registered Nurse
14	364SG0600X	Gerontology Clinical Nurse Specialist
15	364SX0200X	Oncology Clinical Nurse Specialist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CE0024	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619920659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY PHYSICIANS INC

Provider Business Mailing Address
First Line	:	5910 LANDERBROOK DR
Second Line	:	SUITE 250
City	:	MAYFIELD HTS
State	:	OH
Zip	:	44124-6508
Country	:	US
Telephone Number	:	440-684-5865
Fax Number	:	440-449-1555

Provider Business Practice Location Address
First Line	:	11100 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1736
Country	:	US
Telephone Number	:	216-844-8500
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	FREDERICK CREIGHTON
Credential	:
Telephone Number	:	216-844-3164

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	09/11/2025

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Directions to “UNIVERSITY PHYSICIANS INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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