MEDICARE: UNIVERSITY PRIMARY CARE PRACTICES

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	335E00000X	Prosthetic/Orthotic Supplier

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	:	1306912290
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY PRIMARY CARE PRACTICES

Provider Business Mailing Address
First Line	:	PO BOX 74590
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44194-0002
Country	:	US
Telephone Number	:	216-383-6480
Fax Number	:	216-383-6745

Provider Business Practice Location Address
First Line	:	18599 LAKE SHORE BLVD STE 207
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44119-1093
Country	:	US
Telephone Number	:	216-383-0100
Fax Number	:	216-383-6481

Authorized Official
Title or Position	:	DIRECTOR BILLING SERVICES
Name	:	STEVE RIDDLE
Credential	:
Telephone Number	:	216-383-6480

Provider Enumeration Date	:	11/24/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1770594467 — DR. JOAN ELLEN SCHILLER DPM
Practice Location Address:

18599 LAKE SHORE BLVD , SIUTE 300
EUCLID, OH
44119-1093

Practice Phone: 216-383-6090
Practice Fax: 216-383-5371

1235255316 — UNIVERSITY PRIMARY CARE PRACTICES INC
Practice Location Address:

18599 LAKE SHORE BLVD , STE 500
EUCLID, OH
44119-1093

Practice Phone: 216-383-7850
Practice Fax: 216-383-7988

1457674988 — EILEEN M COLES-HERMAN RN
Practice Location Address:

18599 LAKE SHORE BLVD
EUCLID, OH
44119-1093

Practice Phone: 216-383-7813
Practice Fax: 216-383-5350

1861715393 — DENISE G KAISER RN
Practice Location Address:

18599 LAKE SHORE BLVD
EUCLID, OH
44119-1093

Practice Phone: 216-383-7813
Practice Fax: 216-383-5350

1679897359 — UNIVERSITY HOSPITALS MEDICAL GROUP, INC
Practice Location Address:

18599 LAKE SHORE BLVD , SUITE 111
EUCLID, OH
44119-1093

Practice Phone: 216-286-6296
Practice Fax: 216-286-6341

1619294071 — KATHRYN M CORTE RD
Practice Location Address:

18599 LAKE SHORE BLVD
EUCLID, OH
44119-1093

Practice Phone: 216-383-7813
Practice Fax: 216-383-5350

Directions to “UNIVERSITY PRIMARY CARE PRACTICES ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.