Provider Demographics
NPI:1114946563
Name:MCGLAUGHLIN, SHAWN PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:PATRICK
Last Name:MCGLAUGHLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1 HOSPITAL DR STE 306
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-9350
Mailing Address - Country:US
Mailing Address - Phone:570-522-4110
Mailing Address - Fax:570-768-3911
Practice Address - Street 1:101 MEADOW GREEN DR
Practice Address - Street 2:
Practice Address - City:MIFFLINBURG
Practice Address - State:PA
Practice Address - Zip Code:17844-9300
Practice Address - Country:US
Practice Address - Phone:570-966-1122
Practice Address - Fax:570-966-1182
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD056557L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015415890007Medicaid
PA02130202OtherKEYSTONE
PA118438702OtherDEPARTMENT OF LABOR
PA232809429OtherTRICARE
PAG14436OtherHEALTH AMERICA
PA8461C3AAOtherGEISINGER
PA080194821OtherRAILROAD MEDICARE
PA02130202OtherBLUE CROSS
PA796428OtherBLUE SHIELD