Provider Demographics
NPI:1881655389
Name:LAUGHNER, JAMES P (DO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:LAUGHNER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:PUNXSUTAWNEY
Mailing Address - State:PA
Mailing Address - Zip Code:15767-2605
Mailing Address - Country:US
Mailing Address - Phone:814-938-1887
Mailing Address - Fax:814-938-1479
Practice Address - Street 1:81 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:PUNXSUTAWNEY
Practice Address - State:PA
Practice Address - Zip Code:15767-2605
Practice Address - Country:US
Practice Address - Phone:814-938-1887
Practice Address - Fax:814-938-1479
Is Sole Proprietor?:No
Enumeration Date:2006-04-01
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS007896L207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA218183OtherUPMC HEALTH PLAN
PA67544OtherBLUE SHIELD GROUP NO
PA98487Medicaid
PA1041900Medicaid
PA001472042Medicaid
PA0014720420005Medicaid
PA050054173OtherRAILROAD MEDICARE NUMBER
PA117277OtherBLUE SHIELD INDIVIDUAL
PA0014720420005Medicaid