Individual provider Active NPI

Timothy Thomas McLaughlin, M.D.

  • Specialist
  • Palm Harbor, FL
National Provider Identifier
1093767444
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0040997 Issued in FL
Practice address
3850 Tampa Rd
Suite 202
Palm Harbor, FL 34684-3670
Phone
(727) 784-6779
Fax
(727) 781-8910
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0040997 FL Primary

Addresses

Primary practice location

3850 Tampa Rd
Suite 202
Palm Harbor, FL 34684-3670

Mailing address

3850 Tampa Rd
Suite 202
Palm Harbor, FL 34684-3670
Phone (727) 784-6779

Other identifiers 1

IdentifierTypeStateIssuer
45858900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0040997FLMDSpecialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1093767444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 TAMPA RD",
            "address_2": "SUITE 202",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843670",
            "telephone_number": "727-784-6779",
            "fax_number": "727-781-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 TAMPA RD",
            "address_2": "SUITE 202",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843670",
            "telephone_number": "727-784-6779",
            "fax_number": "727-781-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "TIMOTHY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0040997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45858900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.