Provider Demographics
NPI:1477646438
Name:MCLAUGHLIN, THOMAS CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:CHARLES
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2667 BERKSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44106-3361
Mailing Address - Country:US
Mailing Address - Phone:216-791-3038
Mailing Address - Fax:216-421-3038
Practice Address - Street 1:10701 EAST BLVD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1702
Practice Address - Country:US
Practice Address - Phone:216-791-3800
Practice Address - Fax:216-421-3038
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.029070207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHANTHUMOther000000275888
OH0902601OtherUNITED HEALTH CARE
OH50902OtherQUALCHOICE
OHP00011028OtherMEDICARE RAILROAD
OH0296406Medicaid
OH110445OtherKAISER
OH0639978OtherETNA
OH110445OtherKAISER
OHD31929Medicare UPIN