Individual provider Active NPI

Erik Jon McLaughlin, MD

  • Family Medicine Physician
  • Hometown, IL
National Provider Identifier
1861637217
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
125051837 Issued in IL
Practice address
4140 Southwest Highway
Hometown, IL 60456
Phone
(708) 422-5700
NPI assigned
Dec 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125051837 IL Primary

Addresses

Primary practice location

4140 Southwest Highway
Hometown, IL 60456

Mailing address

4140 Southwest Highway
Hometown, IL 60456
Phone (708) 422-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, LA, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090916000212 AZ Practitioner - Emergency MedicinePractitioner - Family Practice 2365598356 Reassigns benefits to 2 organizations
I20140106000700 LA Practitioner - Emergency Medicine 2365598356 Reassigns benefits to 2 organizations
I20240910002958 CA Practitioner - Family Practice 2365598356 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125051837ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Emergency Group LLC CurrentSince Dec 1, 2013 Accepting new patients
Jefferson Davis Emergency Group LLC CurrentSince Dec 15, 2013 Accepting new patients
Northern Cochise Community Hospital Inc CurrentSince Feb 1, 2016 Accepting new patients
San Diego American Indian Health Center CurrentSince Jun 29, 2024 Accepting new patients
DHHS IHS Phoenix Area Past Accepting new patients
The Arizona Partnership for Immunization Past Accepting new patients
Chase Dennis Emergency Medical Group Inc Family Medicine Past Accepting new patients
Marana Health Center, Inc Past Accepting new patients
Cochise County Past Accepting new patients

Locations

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

901 W Rex Allen Dr
Willcox, AZ 85643
Phone (520) 384-3541

2602 1st Ave
Ste 105
San Diego, CA 92103

2630 1st Ave
San Diego, CA 92103
Phone (619) 234-2158

1634 Elton Rd
Jennings, LA 70546
Phone (337) 616-7000

1125 Marguerite St
Morgan City, LA 70380
Phone (985) 380-4434

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFGCCD

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229040000000",
    "number": "1861637217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 SOUTHWEST HIGHWAY",
            "city": "HOMETOWN",
            "state": "IL",
            "postal_code": "60456",
            "telephone_number": "708-422-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 SOUTHWEST HIGHWAY",
            "city": "HOMETOWN",
            "state": "IL",
            "postal_code": "60456",
            "telephone_number": "708-422-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "ERIK",
        "middle_name": "JON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125051837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hometown, IL

Sources for this page

Verify at the official NPI Registry.