1083651186 NPI number — DR. CHRISTOPHER G MCLAUGHLIN M.D.

Table of content: DR. CHRISTOPHER G MCLAUGHLIN M.D. (NPI 1083651186)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083651186 NPI number — DR. CHRISTOPHER G MCLAUGHLIN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCLAUGHLIN
Provider First Name:
CHRISTOPHER
Provider Middle Name:
G
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083651186
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10240 PARK MEADOWS DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LONE TREE
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80124-5425
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-338-4545
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10240 PARK MEADOWS DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LONE TREE
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80124-5425
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-338-4545
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , with the licence number:  25088 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 04-36338 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 17555 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 36986 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1083651186 , issued by the state of ( UT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1083651186 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1083651186 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200417100A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 39432858 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
  • Identifier: CO304408 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10025709000 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1083651186 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1083651186 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02300269 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 178408001 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 104705676 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1083651186 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200424990A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 84-059792913 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1083651186/008025888 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 922387 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 025987 . This is a "KAISER COMMERCIAL NUMBER" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 102774120 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01369867 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".




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