Organization Active NPI

Jennifer a. McLaughlin MD PLLC

  • Dermatology Physician
  • Batesville, AR
National Provider Identifier
1720393978
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
JENNIFER A. MCLAUGHLIN MD PLLC
Doing business as
McLaughlin Dermatology
Practice address
16 Hospital Circle
Suite B
Batesville, AR 72501-7343
Phone
(870) 793-7800
NPI assigned
Aug 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Authorized official

Name
Ms. Jennifer Ashley McLaughlin, M.D.NPI 1497947550
Title
Owner
Phone
(870) 793-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

16 Hospital Circle
Suite B
Batesville, AR 72501-7343

Mailing address

16 Hospital Circle
Suite B
Batesville, AR 72501-7343
Phone (870) 793-7800

Other names 1

  • McLaughlin Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100910000723 AR Part B Supplier - Clinic/Group Practice 1456476639 Receives reassigned benefits from 2 practitioners
Practice locations: Batesville, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2012290McLaughlin Dermatology16 Hospital Circle Ste B, Batesville, AR 72501ComplianceAug 4, 2027

National Provider Directory

National Provider Directory

Locations

16 Hospital Cir
Ste B
Batesville, AR 72501
Phone (870) 793-7800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1720393978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HOSPITAL CIRCLE",
            "address_2": "SUITE B",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017343",
            "telephone_number": "870-793-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HOSPITAL CIRCLE",
            "address_2": "SUITE B",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017343",
            "telephone_number": "870-793-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER A. MCLAUGHLIN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-793-7800",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLaughlin Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.