Active NPI
Thomas G. MC Loughlin Jr., M.D.
- Pediatrics Physician
- New Smyrna Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME79808
- Practice address
- 1115 S Dixie Fwy
New Smyrna Beach, FL 32168-7473 - Phone
- (386) 463-5323
- NPI assigned
- Jun 21, 2006
- Last updated
- Apr 24, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME79808 | FL | Primary |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | ME79808 | FL |
Addresses
Primary practice location
1115 S Dixie Fwy
New Smyrna Beach, FL 32168-7473
Mailing address
4516 Katy Dr
New Smyrna Beach, FL 32169-4112
Phone (386) 679-4458
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49725 | Other | FL | BLUE SHIELD OF FL |
| 258515400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME79808 | FL | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quotient Neuro Services LLC | Pediatrics | Current | Accepting new patients |
| Halifax Healthcare Systems Inc | Current | Accepting new patients | |
| Children's Medical Center of Ormond Beach | Past | Accepting new patients | |
| Emergency Medicine of Florida, Inc. | Past | Accepting new patients | |
| Halifax Healthcare Systems Inc | Past | Accepting new patients |
Locations
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
303 N Clyde Morris Blvd
Fl 10
Daytona Beach, FL 32114
Phone (386) 425-2360
1115 S Dixie Fwy
New Smyrna Beach, FL 32168
Phone (386) 463-5323
Use Ci1660
Orlando, FL 32886
740 Dunlawton Ave
Ste 100
Port Orange, FL 32127
Phone (386) 767-2402
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba HHCSI Halifax Family Health Center
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
-
- Pediatrics Physician
- New Smyrna Beach, FL
- NPI 1245085018
-
dba Children's Medical Center
- Specialist
- Ormond Beach, FL
- NPI 1093932113
-
dba COMBI (Comprehensive Occupational Medicine for Business & Industry)
- Occupational Medicine Clinic/Center
- Tampa, FL
- NPI 1134235872
-
dba HHCSI Halifax Open Heart
- Cardiovascular Disease Physician
- Daytona Beach, FL
- NPI 1366452591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1144266099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4516 KATY DR",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321694112",
"telephone_number": "386-679-4458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 S DIXIE FWY",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321687473",
"telephone_number": "386-463-5323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MC LOUGHLIN",
"first_name": "THOMAS",
"middle_name": "G.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME79808",
"primary": true
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "FL",
"license": "ME79808",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF FL",
"identifier": "49725",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "258515400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Smyrna Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.