Active NPI
Jacqueline McLaughlin
- Obstetrics & Gynecology Physician
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME110575
- Practice address
- 109 N Doverplum Ave
Kissimmee, FL 34758-3309 - Phone
- (407) 943-8600
- NPI assigned
- Oct 1, 2008
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME110575 | FL | Primary |
Addresses
Primary practice location
109 N Doverplum Ave
Kissimmee, FL 34758-3309
Mailing address
1877 Fortune Rd
Kissimmee, FL 34744-4428
Phone (407) 943-8600
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
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3800 W Broward Blvd
Suite 101
Fort Lauderdale, FL 33312-1018
Phone (954) 496-2681
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME110575 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestige Obstetrics and Gynecology Associates LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Prestige Clinicians LLC | Current | Accepting new patients | |
| Prestige Recovery and Suboxone Clinic LLC | Current | Accepting new patients | |
| Medm LLC | Past | Accepting new patients | |
| Central Florida Care Group, Inc. | Past | Accepting new patients |
Locations
3800 W Broward Blvd
Ste 101
Ft Lauderdale, FL 33312
Phone (954) 440-0983
406 E Vine St
Rm C
Kissimmee, FL 34744
Phone 9542710291201
4513 NW 31st Ave
Oakland Park, FL 33309
Phone (954) 496-2599
Interoperability endpoints
- https://api.platform.athenahealth.com/23897/brand/1/csg/1/fhir/r4
- jacqueline.mclaughlin.1@23897.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Primary Care Clinic/Center
- Oakland Park, FL
- NPI 1497213755
-
- Obstetrics & Gynecology Physician
- Fort Lauderdale, FL
- NPI 1174414460
-
- Internal Medicine Physician
- Oakland, FL
- NPI 1861705725
-
dba Prestige Concierge Psychiatry
- Psychiatry Physician
- Fort Lauderdale, FL
- NPI 1215623624
-
- Attendant Care Provider
- Kissimmee, FL
- NPI 1346697463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1700037348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1877 FORTUNE RD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347444428",
"telephone_number": "407-943-8600",
"fax_number": "407-932-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 N DOVERPLUM AVE",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347583309",
"telephone_number": "407-943-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAUGHLIN",
"first_name": "JACQUELINE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-01",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME110575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.