Eastside Medical Group

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

EASTSIDE MEDICAL GROUP

Practice address

2775 S Moreland Blvd
Cleveland, OH 44120-2397

Phone

(216) 751-8988

Fax

(216) 751-8990

NPI assigned

Jul 23, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lauchlin McKeigan, D.C.NPI 1265552798

Title

Owner

Phone

(440) 725-8984

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauchlin Wayne McKeigan, D.C.

  • Chiropractor
  • Cleveland, OH
  • NPI 1265552798
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1346625050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 S MORELAND BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441202397",
            "telephone_number": "216-751-8988",
            "fax_number": "216-751-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 S MORELAND BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441202397",
            "telephone_number": "216-751-8988",
            "fax_number": "216-751-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "MCKEIGAN",
        "authorized_official_first_name": "LAUCHLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-725-8984",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Eastman, PSYD
• Rachel Ann Eastman, PA-C
• Eastside Catholic Center & Shelter
• Eastside Catholic Center & Shelter
• Eastside DME Supply
• Kawanya D Eatman, STNA
• Anthony James Livingston Eaton
• Frank Earl Eaton, CDCA
• Gina N Eaton, CDCA QMHSMA CMSMA
• Jennifer L Eaton, D.O.

• Multi-Specialty Clinic/Center in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Multi-Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.