NPIMap

Individual provider Active NPI

Douglas M Laflan, MD

  • Family Medicine Physician
  • Creighton, NE
National Provider Identifier
1821045824
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12187 Issued in NE
Practice address
804 Chase Ave
Creighton, NE 68729-0110
Phone
(402) 358-5335
Fax
(402) 358-3598
NPI assigned
May 27, 2006
Last updated
Jul 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12187 NE Primary
General Practice Physician 208D00000X 12187 NE

Addresses

Primary practice location

804 Chase Ave
Creighton, NE 68729-0110

Mailing address

PO Box 110
804 Chase Ave
Creighton, NE 68729-0110
Phone (402) 358-5335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060403000787 NE Practitioner - Family Practice 5193628170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laflan Medical Clinic, LLCGroup PAC ID 4486085958, 2 clinicians

Practice addresses (Care Compare)

804 Chase Ave
Creighton, NE 68729-2893
Phone (402) 358-5335

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12187NEMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
West Holt Memorial Hospital General Practice CurrentSince Feb 5, 2010 Accepting new patients
West Holt Memorial Hospital CurrentSince Feb 5, 2010 Accepting new patients
Tilden Community Hospital & Rural Health Clinic Past Accepting new patients
Creighton Area Health Services PastSince Jan 28, 2004 Accepting new patients

Locations

405 W Pearl St
Atkinson, NE 68713
Phone (402) 925-2631

406 W Neely St
Atkinson, NE 68713
Phone (402) 925-2811

Interoperability endpoints

  • Direct secure messaging: douglas.laflan.1@21532.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avera Creighton Care CentreCreighton, NE, CCN 285284 Skilled nursing facility Contracted Managing Employee Feb 1, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1821045824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110",
            "address_2": "804 CHASE AVE",
            "city": "CREIGHTON",
            "state": "NE",
            "postal_code": "687290110",
            "telephone_number": "402-358-5335",
            "fax_number": "402-358-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 CHASE AVE",
            "city": "CREIGHTON",
            "state": "NE",
            "postal_code": "687290110",
            "telephone_number": "402-358-5335",
            "fax_number": "402-358-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFLAN",
        "first_name": "DOUGLAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "12187",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "12187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creighton, NE

Sources for this page

Verify at the official NPI Registry.