Active NPI
Colleen Sue Laughlin, D.O
- Family Medicine Physician
- Washington, PA
National Provider Identifier
1700966868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS014439
- Practice address
- 1500 W Chestnut St
VA Primary Care Clinic
Washington, PA 15301-5864 - Phone
- (724) 250-7790
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02002500A | IN | |
| Family Medicine Physician | 207Q00000X | OS014439 | PA | Primary |
Addresses
Primary practice location
1500 W Chestnut St
VA Primary Care Clinic
Washington, PA 15301-5864
Mailing address
108 Darnley Dr
Coraopolis, PA 15108-9752
Phone (301) 437-3275
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110518000276 | PA | Order and Referring Only - Family Practice | 5395921894 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02002500A | IN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1700966868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 DARNLEY DR",
"city": "CORAOPOLIS",
"state": "PA",
"postal_code": "151089752",
"telephone_number": "301-437-3275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 W CHESTNUT ST",
"address_2": "VA PRIMARY CARE CLINIC",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153015864",
"telephone_number": "724-250-7790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUGHLIN",
"first_name": "COLLEEN",
"middle_name": "SUE",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02002500A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS014439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.