Active NPI
Patrick J McLaughlin, DC
- Chiropractor
- Willoughby, OH
National Provider Identifier
1912078247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2597
- Practice address
- 4045 Erie St
Willoughby, OH 44094-7804 - Phone
- (440) 942-2225
- Fax
- (440) 942-0372
- NPI assigned
- Nov 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2597 | OH | Primary |
Addresses
Primary practice location
4045 Erie St
Willoughby, OH 44094-7804
Mailing address
4045 Erie St
Willoughby, OH 44094-7804
Phone (440) 942-2225
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2060922 | Other | OH | AENTA |
| 258650 | Other | OH | ANTHEM BCBS |
| 3278775001 | Other | OH | CIGNA |
| 2060655 | Other | OH | AETNA PPO |
| 2076015 | Medicaid | OH | |
| U71018 | Other | OH | UPIN |
| DD9162 | Other | OH | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4045 Erie St
Willoughby, OH 44094-7804
Phone (440) 942-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2597 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willoughby Chiropractic Center, Inc. | Chiropractor | Current | Accepting new patients |
Locations
4045 Erie St
Willoughby, OH 44094
Phone (440) 942-2225
Organizations & group practices 1
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.
-
- Chiropractor
- Willoughby, OH
- NPI 1891210175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1912078247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4045 ERIE ST",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440947804",
"telephone_number": "440-942-2225",
"fax_number": "440-942-0372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4045 ERIE ST",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440947804",
"telephone_number": "440-942-2225",
"fax_number": "440-942-0372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAUGHLIN",
"first_name": "PATRICK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "2597",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AENTA",
"identifier": "2060922",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "258650",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3278775001",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "2060655",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2076015",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "U71018",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DD9162",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.