Appalchain Skin and Lasar Dba Ageless Skin and Laser

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MDO24272 Issued in TN

Legal business name

APPALCHAIN SKIN AND LASAR DBA AGELESS SKIN AND LASER

Practice address

303 Med Tech Pkwy
Suite 110
Johnson City, TN 37604-2364

Phone

(423) 953-5300

NPI assigned

May 4, 2011

Last updated

May 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marion Dean McLaughlin, MDNPI 1346245511

Title

President

Phone

(423) 953-5300

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marion D McLaughlin, M.D.

  • Family Medicine Physician
  • Johnson City, TN
  • NPI 1346245511
  Authorized official Same address or phone
• Seth M McLaughlin, FNP NP-C

  • Family Nurse Practitioner
  • Johnson City, TN
  • NPI 1013073592
  NPD (past)

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1154613511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MED TECH PKWY",
            "address_2": "SUITE 110",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042364",
            "telephone_number": "423-953-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MED TECH PKWY",
            "address_2": "SUITE 110",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042364",
            "telephone_number": "423-953-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALCHAIN SKIN AND LASAR DBA AGELESS SKIN AND LASER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-953-5300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": "MDO24272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Appalachian Medical Center Inc
• Appalachian Neonatal Care Associates, PC
• Appalachian Orthopaedic Associates P C
• Appalachian Orthopaedic Associates P C (Appalachian Rehabilitation and Sports Medicine)
• Appalachian Radiation Oncology Associates, P. C.
• Madison Nichole Appleba, LCSW
• Applegate Health Services of Tennessee, Inc. (AppleGate Recovery Johnson City)
• Kristen Medlock Archibald, PHARMD
• Timothy London Archibald, PHARMD
• Kalene Ardt

• Clinic/Center in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.