Healthcare Provider Details

I. General information

NPI: 1992003149
Provider Name (Legal Business Name): JOHN PATRICK MCLAUGHLIN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2011
Last Update Date: 08/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE A41
CLEVELAND OH
44195-1004
US

IV. Provider business mailing address

9500 EUCLID AVE A41
CLEVELAND OH
44195-1004
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-3927
  • Fax:
Mailing address:
  • Phone: 216-444-3927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number34.011472
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: