Provider Demographics
NPI:1871320655
Name:ONEMD EASTPOINT PLLC
Entity type:Organization
Organization Name:ONEMD EASTPOINT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:LOHEIDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-899-7163
Mailing Address - Street 1:2425 LIME KILN LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-3462
Mailing Address - Country:US
Mailing Address - Phone:502-899-4163
Mailing Address - Fax:
Practice Address - Street 1:13050 MAGISTERIAL DR STE 102
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40223-5181
Practice Address - Country:US
Practice Address - Phone:502-899-7163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty