Provider Demographics
NPI:1063412211
Name:MCLAUGHLIN, MATTHEW MURRAY (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:MURRAY
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:690 MINOT AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04210-3922
Mailing Address - Country:US
Mailing Address - Phone:207-783-1328
Mailing Address - Fax:207-786-4332
Practice Address - Street 1:690 MINOT AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-3922
Practice Address - Country:US
Practice Address - Phone:207-783-1328
Practice Address - Fax:207-786-4332
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-06-0562208100000X
OH35060562204R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No204R00000XAllopathic & Osteopathic PhysiciansElectrodiagnostic Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2300477OtherUNITED HEALTHCARE
OH000000194033OtherANTHEM
OH2237332Medicaid
OH250012478OtherMEDICARE RAILROAD
OH2915745001OtherCIGNA
OH2300477OtherUNITED HEALTHCARE
OH250012478OtherMEDICARE RAILROAD
F64930Medicare UPIN