Provider Demographics
NPI:1598732646
Name:MCLAUGHLIN, DANIEL J (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:J
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 74692
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44194-0002
Mailing Address - Country:US
Mailing Address - Phone:440-895-5021
Mailing Address - Fax:440-895-5050
Practice Address - Street 1:18099 LORAIN AVE
Practice Address - Street 2:SUITE 545
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-5610
Practice Address - Country:US
Practice Address - Phone:216-476-9669
Practice Address - Fax:216-476-4818
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0599042086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4511OtherRR MEDICARE GROUP
OH0794627Medicaid
10795854OtherCAQH
1780634279OtherGROUP NPI
3610861OtherGROUP ASC MEDICARE
D368301OtherGROUP IND DIAGNOSTICS MED
0119204OtherGROUP MEDICAID
102959OtherKAISER
9273172OtherGROUP MEDICARE
P00005842OtherRR MEDICARE INDIVIDUAL
D368301OtherGROUP IND DIAGNOSTICS MED
D368301OtherGROUP IND DIAGNOSTICS MED
0119204OtherGROUP MEDICAID