Provider Demographics
NPI:1932953056
Name:UNIVERSITY PRIMARY CARE PRACTICES INC
Entity Type:Organization
Organization Name:UNIVERSITY PRIMARY CARE PRACTICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, UH PHYSICIAN SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:SASSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-844-8069
Mailing Address - Street 1:PO BOX 772928
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48277-2928
Mailing Address - Country:US
Mailing Address - Phone:800-589-6006
Mailing Address - Fax:
Practice Address - Street 1:917 N LAKE ST STE 100
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:OH
Practice Address - Zip Code:44001-1350
Practice Address - Country:US
Practice Address - Phone:440-634-5640
Practice Address - Fax:440-634-5641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty