Provider Demographics
NPI:1184730616
Name:MCLAUGHLIN, JOHN LOUIS (DPM)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:LOUIS
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:MILLERSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44654-1123
Mailing Address - Country:US
Mailing Address - Phone:330-674-4462
Mailing Address - Fax:330-674-3414
Practice Address - Street 1:212 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:MILLERSBURG
Practice Address - State:OH
Practice Address - Zip Code:44654-1123
Practice Address - Country:US
Practice Address - Phone:330-674-4462
Practice Address - Fax:330-674-3414
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36002302213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0606179Medicaid
OHAM2251130OtherDEA
OH0606179Medicaid
OHAM2251130OtherDEA
OH0631370002Medicare NSC