OrganizationActive
University Primary Care Practices, Inc.
NPI 1497884605 · Family Medicine Physician · Medina, OH
Provider details
- NPI number
- 1497884605
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Janna Kennedy, Director Med Staff Services & Cred(216) 844-2045
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
805 E Washington St Ste 100
Medina, OH 44256-3331
Phone: (330) 721-8474
Fax: (216) 201-8952
Street-level locationGet directions
Mailing address
Po Box 772040
Detroit, MI 48277-2040
Other names (DBA / former)
- Doing business as
- Uh State Road Family Medicine
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2021-03-16
- Certified
- 2021-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.