| Mr Timothy Shawn Scanlon Jr, PA-C | |
|
3535 Southern Blvd, Kettering, OH 45429-1221 | |
| (937) 395-8166 | |
| Not Available |
| Full Name | Mr Timothy Shawn Scanlon Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3535 Southern Blvd, Kettering, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730147919 | NPI | - | NPPES |
| 0078665 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 2540 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | 50.001117 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Timothy Shawn Scanlon Jr, PA-C 3131 Newmark Dr Ste 220, Miamisburg, OH 45342-5400 Ph: (937) 436-4658 | Mr Timothy Shawn Scanlon Jr, PA-C 3535 Southern Blvd, Kettering, OH 45429-1221 Ph: (937) 395-8166 |
Milena Menchaca, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8166 | |
Annabeth Pruett Barry, PA-C, MBA Physician Assistant Medicare: Medicare Enrolled Practice Location: 424 E Stroop Rd Unit B, Kettering, OH 45429 Phone: 937-562-2300 Fax: 937-562-2302 | |
Miss Kathryn Paige Schwendler, MPAS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8166 | |
Michael D Kelley, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-395-6668 | |
Marie Therese Mualla Oram, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299 Fax: 937-643-2343 | |
Mr. David Evans, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3533 Southern Blvd Ste 2250, Kettering, OH 45429 Phone: 937-534-0330 Fax: 937-522-8995 | |
Julie C Williams, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8166 |