Active NPI
Collin Maurice McLaughlin, DO
- Internal Medicine Physician
- Keizer, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DO171491
- Practice address
- 5305 River Rd N Ste B
Keizer, OR 97303-5324 - Phone
- (412) 867-6899
- NPI assigned
- May 23, 2011
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34.014790 | OH | |
| Internal Medicine Physician | 207R00000X | 008763 | AZ | |
| Internal Medicine Physician | 207R00000X | TPOS68 | FL | |
| Internal Medicine Physician | 207R00000X | OS017030 | PA | |
| Internal Medicine Physician | 207R00000X | DO171491 | OR | Primary |
Addresses
Primary practice location
5305 River Rd N Ste B
Keizer, OR 97303-5324
Mailing address
5305 River Rd N Ste B
Keizer, OR 97303-5324
Phone (412) 867-6899
Other practice location 1
2020 Capitol St NE
Salem, OR 97301-0644
Phone (503) 399-2424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500689379 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, MD, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Philadelphia College of Osteopathic Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7711
Hospital & facility affiliations
- Legacy Emanuel Medical Center
- Legacy Good Samaritan Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008763 | AZ | MD | Internal Medicine Physician |
| TPOS68 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Clinics LLC | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Family Medicine | Current | Accepting new patients |
| Legacy Clinics LLC | Family Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Family Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Family Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Post Acute Telehealth PC | Family Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
Locations
14751 Carey Rd
Carmel, IN 46033
Phone (317) 575-2208
101 Potters Ln
Clarksville, IN 47129
Phone (812) 948-0808
2525 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 367-9100
3000 North Ridge Rd
Ellicott City, MD 21043
Phone (410) 461-7577
105 Time Sq
Salisbury, MD 21801
Phone (410) 749-2474
1234 Washington Rd
Westminster, MD 21157
Phone (410) 848-0700
4700 Ashwood Dr
Ste 200
Blue Ash, OH 45241
Phone (800) 989-7337
625 Probasco St
Cincinnati, OH 45220
Phone (513) 281-0745
200 S Hazel Dell Way
Ste 210
Canby, OR 97013
Phone (503) 263-9550
1500 Division St
Oregon City, OR 97045
Phone (503) 646-1631
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
Internal Medicine
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
Internal Medicine
-
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
Internal Medicine
-
- General Acute Care Hospital
- Milwaukie, OR
- NPI 1366536963
Internal Medicine
-
- Rural Health Clinic/Center
- Sandy, OR
- NPI 1730472192
-
- Clinical Pathology Physician
- Oregon City, OR
- NPI 1003368911
Family Medicine
-
- Clinical Pathology Physician
- Portland, OR
- NPI 1831641745
Family Medicine
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portland, OR
- NPI 1396818993
-
- Clinical Pathology Physician
- Milwaukie, OR
- NPI 1578014239
Family Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003367491
-
- Clinical Medical Laboratory
- Portland, OR
- NPI 1295756898
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
- Clinic/Center
- Portland, OR
- NPI 1679597108
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1215220306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5305 RIVER RD N STE B",
"city": "KEIZER",
"state": "OR",
"postal_code": "973035324",
"telephone_number": "412-867-6899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5305 RIVER RD N STE B",
"city": "KEIZER",
"state": "OR",
"postal_code": "973035324",
"telephone_number": "412-867-6899"
}
],
"practiceLocations": [
{
"address_1": "2020 Capitol St NE",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973010644",
"country_code": "US",
"telephone_number": "503-399-2424",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLAUGHLIN",
"first_name": "COLLIN",
"middle_name": "MAURICE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-23",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34.014790",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "008763",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "TPOS68",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS017030",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "DO171491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500689379",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Keizer, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.