Provider Demographics
NPI:1801863873
Name:LOHMAN, ERIC R (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:R
Last Name:LOHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:991 MEDICAL PARK DR STE 107
Mailing Address - Street 2:
Mailing Address - City:MAYSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41056-8766
Mailing Address - Country:US
Mailing Address - Phone:606-759-9353
Mailing Address - Fax:606-759-9702
Practice Address - Street 1:901 KENTON STATION DR
Practice Address - Street 2:
Practice Address - City:MAYSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41056-9609
Practice Address - Country:US
Practice Address - Phone:606-759-9353
Practice Address - Fax:606-759-9702
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY34941207RC0000X
OH35078318207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9321441OtherOH MEDICARE GRP #
OH2352707Medicaid
KY6293OtherKY MEDICARE GRP #
KY64012685Medicaid
KYH16605Medicare UPIN
OH4088401Medicare PIN
KY0629304Medicare PIN