Active NPI
Mary E McLaughlin, PA-C
- Physician Assistant
- Wayzata, MN
National Provider Identifier
1194151977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9102245
- Practice address
- 2542 Lafayette Rd
Wayzata, MN 55391-9752 - Phone
- (952) 201-4557
- NPI assigned
- Sep 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9102245 | FL | Primary |
Addresses
Primary practice location
2542 Lafayette Rd
Wayzata, MN 55391-9752
Mailing address
2542 Lafayette Rd
Wayzata, MN 55391-9752
Phone (952) 201-4557
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9102245 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1194151977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2542 LAFAYETTE RD",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553919752",
"telephone_number": "952-201-4557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2542 LAFAYETTE RD",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553919752",
"telephone_number": "952-201-4557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAUGHLIN",
"first_name": "MARY",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-24",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9102245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayzata, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.