MEDICARE: UNIVERSITY PRIMARY CARE PRACTICES 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	207Q00000X	Family Medicine Physician		OH

General Provider Information

NPI Number	:	1487781985
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY PRIMARY CARE PRACTICES INC

Provider Business Mailing Address
First Line	:	PO BOX 8792
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-8792
Country	:	US
Telephone Number	:	440-743-8130
Fax Number	:	440-743-8131

Provider Business Practice Location Address
First Line	:	303 E ROYALTON RD
Second Line	:	STE 202
City	:	BROADVIEW HTS
State	:	OH
Zip	:	44147-2591
Country	:	US
Telephone Number	:	440-743-8130
Fax Number	:	440-743-8131

Authorized Official
Title or Position	:	UHPS PRESIDENT
Name	:	DR. CLIFF MEGARIAN
Credential	:
Telephone Number	:	216-844-5500

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	02/13/2017

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