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TIMOTHY M SCANLAN MD
NPI 1528054301
Family Medicine - Addiction Medicine in Hugo, MN

Active since September 27, 2005
4767 DAHLIA WAY N, HUGO, MN 55038(651) 493-4856 Get Directions Write a Review

NPPES record last updated: November 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy M Scanlan Md NPPES

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

TIMOTHY M SCANLAN MD (NPI 1528054301) is an individual addiction medicine provider in Hugo, Minnesota, licensed in Minnesota (20245) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1528054301
Entity TypeIndividualMale
Primary Taxonomy207QA0401X
Provider Legal NameTIMOTHY M SCANLANCredential: MD
Location Address4767 DAHLIA WAY NHugo, MN 55038-6060
Mailing Address4767 Dahlia Way NHugo, MN 55038-6060 · (651) 493-4856
Phone(651) 493-4856
Sole ProprietorYes
Enumeration DateSeptember 27, 2005
Last NPPES UpdateNovember 27, 2012
✔ NPI 1528054301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Licenses✔ Licensed in MN · 20245✔ Licensed in KS · 17663
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
4767 DAHLIA WAY N, Hugo, MN 55038
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Other Identifiers 1

Medicare UPINB91108MN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Scanlan's NPI number?

The NPI number for Timothy Scanlan is 1528054301. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Timothy Scanlan located?

Timothy Scanlan practices at 4767 Dahlia Way N, Hugo, MN 55038. The listed phone number is (651) 493-4856.

What is Timothy Scanlan's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Timothy Scanlan was last updated on November 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.