Healthcare Provider Details

I. General information

NPI: 1801921192
Provider Name (Legal Business Name): DAVID STEPHEN MCLAUGHLIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 08/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9660 E 146TH STREET SUITE 300
NOBLESVILLE IN
46060
US

IV. Provider business mailing address

9660 E 146TH ST SUITE 300
NOBLESVILLE IN
46060-3099
US

V. Phone/Fax

Practice location:
  • Phone: 317-774-1200
  • Fax: 317-774-1222
Mailing address:
  • Phone: 317-774-1200
  • Fax: 317-774-1222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number01023361A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number01023361A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number01022361A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: