Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TIMOTHY SHAWN SCANLON JR., PA-C
ActiveMR. TIMOTHY SHAWN SCANLON JR., PA-C is a Physician Assistant healthcare provider located in KETTERING, Ohio. NPI 1730147919 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · KETTERING, OH
Registration Details
- NPI Number
- 1730147919
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2006 (20.245354684867 yrs)
- Last Updated
- May 6, 2020
- Licenses
-
2540 (AZ)50.001117 (OH)
Practice Information
- Address
-
3535 SOUTHERN BLVDKETTERING, OH, 454291221Browse OH providers · Browse ZIP 45429
- Phone
- 9373958166
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in KETTERING, OH
| Name | Credential | NPI |
|---|---|---|
| NORMAN MICHAEL YAGGI | PA C | 1508848805 |
| HAROLD D DEAL | PA | 1548248081 |
| ROBERT G. ENSIGN | P.A.-C | 1962480418 |
| MICHAEL D KELLEY | PA | 1043284698 |
| JULIE C WILLIAMS | PA | 1063460525 |
| TRACY S COY | PAC | 1710934799 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.