| Eastside Medical Group | |
|
2775 S Moreland Blvd Cleveland OH 44120-2397 | |
| (216) 751-8988 | |
| (216) 751-8990 |
| Full Name | Eastside Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 2775 S Moreland Blvd, Cleveland, Ohio |
| Authorized Official Name and Position | Lauchlin Mckeigan (OWNER) |
| Authorized Official Contact | 4407258984 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Medical Group 2775 S Moreland Blvd Cleveland OH 44120-2397 Ph: (216) 751-8988 | Eastside Medical Group 2775 S Moreland Blvd Cleveland OH 44120-2397 Ph: (216) 751-8988 |
| NPI Number | 1346625050 |
|---|---|
| Provider Enumeration Date | 07/23/2015 |
| Last Update Date | 06/21/2016 |
| Medicare PECOS PAC ID | 7517251994 |
|---|---|
| Medicare Enrollment ID | O20160808001718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346625050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Lauchlin W Mckeigan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265552798 PECOS PAC ID: 2567366248 Enrollment ID: I20031125000098 |
| Provider Name | Matthew Woodworth |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043467996 PECOS PAC ID: 8123188042 Enrollment ID: I20081122000185 |
| Provider Name | Jessica L Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164860292 PECOS PAC ID: 9830330224 Enrollment ID: I20130727000078 |
| Provider Name | Jane S Hoashi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821376559 PECOS PAC ID: 4284863770 Enrollment ID: I20140203000886 |
| Provider Name | Andrew Lapso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841740941 PECOS PAC ID: 2668751264 Enrollment ID: I20161123001152 |
| Provider Name | Jessica L Dilley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922345693 PECOS PAC ID: 0749435584 Enrollment ID: I20171221001889 |
| Provider Name | Moumita Majee |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912456021 PECOS PAC ID: 4880940774 Enrollment ID: I20180706002520 |
| Provider Name | Alyx Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710640156 PECOS PAC ID: 4688054851 Enrollment ID: I20220706000440 |
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