| Onemd-louisville Pllc | |
|
2425 Lime Kiln Ln Louisville KY 40222-3462 | |
| (502) 899-7163 | |
| (502) 897-9963 |
| Full Name | Onemd-louisville Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2425 Lime Kiln Ln, Louisville, Kentucky |
| Authorized Official Name and Position | John Urban Varga (OWNER) |
| Authorized Official Contact | 5028997163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Onemd-louisville Pllc 2425 Lime Kiln Ln Louisville KY 40222-3462 Ph: (502) 899-7163 | Onemd-louisville Pllc 2425 Lime Kiln Ln Louisville KY 40222-3462 Ph: (502) 899-7163 |
| NPI Number | 1457364580 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 12/07/2010 |
| Medicare PECOS PAC ID | 5799702023 |
|---|---|
| Medicare Enrollment ID | O20051026000931 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457364580 | NPI | - | NPPES |
| 65938169 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | John U Varga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083623011 PECOS PAC ID: 7911978242 Enrollment ID: I20040812001262 |
| Provider Name | Paul J Loheide |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356305270 PECOS PAC ID: 1052369303 Enrollment ID: I20050104000608 |
| Provider Name | Mark Randall Wheeler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346257110 PECOS PAC ID: 3476654252 Enrollment ID: I20110211000673 |
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