JOHN CHARLES SCANLON MD - NPI 1073582623 - Internal Medicine in Lafayette, IN

Q: What is John Scanlon's NPI number?

The NPI number for John Scanlon is 1073582623. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Q: What is John Scanlon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for John Scanlon was last updated on July 23, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About John Charles Scanlon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN CHARLES SCANLON MD (NPI 1073582623) is an individual critical care medicine provider in Lafayette, Indiana, licensed in Indiana (01023751A) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1073582623

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameJOHN CHARLES SCANLONCredential: MD

Location Address1500 SALEM STLafayette, IN 47904-2164

Mailing AddressPo Box 5545Lafayette, IN 47903-5545 · (765) 448-8000

Phone(765) 448-8000

Fax(765) 448-7631

Sole ProprietorNo

Enumeration DateMarch 16, 2006

Last NPPES UpdateJuly 23, 2012

✔ NPI 1073582623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in IN · 01023751A

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 01023751A (IN)

1500 SALEM ST, Lafayette, IN 47904

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Other Identifiers 10

Medicaid100231140IN

Medicare PIN815490TIN

Medicare PIN810000511IN

Medicare PIN815500R2IN

Other000000191108IN · Anthem Provider Number

Other9397438IN · Phcs Pid Number

MedicaidSC80461029IN

Medicare PIN815450XIN

Other10825885IN · Caqh Number

Medicare UPIND05838IN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARY P DILLON MD

Dermatology (Dermatopathology)