Mitchell Wade McLaughlin, ATC, LAT

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

552 Issued in OK

Practice address

3216 N Main St
Altus, OK 73521-1307

Phone

(580) 379-9090

Fax

(580) 379-9091

NPI assigned

Jun 15, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1497076368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 N MAIN ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735211307",
            "telephone_number": "580-379-9090",
            "fax_number": "580-379-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 N MAIN ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735211307",
            "telephone_number": "580-379-9090",
            "fax_number": "580-379-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "MITCHELL",
        "middle_name": "WADE",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OK",
            "license": "552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carey McClintock, D.C.
• John S McGlothlen, CRNA
• Mindy Linn McKeown, LPTA
• Kristina L McKune, LPC, LADC, NCC, ACHT
• Jentry McLaughlin, D.O.
• Jonathan David McMasters, PTA
• Jordan Medlock, COTA/L
• Michael W. Geiger, OD PC
• Nicole Miller-Bissell
• Alisha Renee Miner, DO

• Sports Medicine (Family Medicine) Physician in Altus, OK
• Providers in Altus, OK by specialty
• Sports Medicine (Family Medicine) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.