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1144266099 NPI number — THOMAS G. MC LOUGHLIN JR. M.D.

NPI Number: 1144266099
Health Care Provider/Practitioner: THOMAS G. MC LOUGHLIN JR. M.D.

Information about “1144266099” NPI (THOMAS G. MC LOUGHLIN JR. M.D.) exists in 1144266099 in HTML format HTML  |  1144266099 in plain Text format TXT  |  1144266099 in PDF (Portable Document Format) PDF  |  1144266099 in an XML format XML  formats.

NPI Number : 1144266099 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144266099",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MC LOUGHLIN",
    "FirstName": "THOMAS",
    "MiddleName": "G.",
    "NamePrefix": "DR.",
    "NameSuffix": "JR.",
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4516 KATY DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW SMYRNA BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32169-4112",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "386-679-4458",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1115 S DIXIE FWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW SMYRNA BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32168-7473",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "386-463-5323",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/21/2006",
    "LastUpdateDate": "04/24/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2080P0204X",
          "TaxonomyName": "Pediatric Emergency Medicine (Pediatrics) Physician",
          "LicenseNumber": "ME79808",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208000000X",
          "TaxonomyName": "Pediatrics Physician",
          "LicenseNumber": "ME79808",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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