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Mr. Timothy Shawn Scanlon JR., PA-C
Physician Assistant in Kettering, Ohio
NPI 1730147919

Timothy Shawn Scanlon JR. is a Physician Assistant based in Miamisburg, OH. Timothy Shawn Scanlon JR. practices in Kettering, OH and has the professional credentials of PA-C. The NPI Number for Timothy Shawn Scanlon JR. is 1730147919 and holds a License No. 2540 (Ohio).

The current practice location address for Timothy Shawn Scanlon JR. is 3535 Southern Blvd, Kettering, OH and can be reached out via phone at 937-395-8166. You can also correspond with Timothy Shawn Scanlon JR. through the mailing address at 3131 NEWMARK DR STE 220, MIAMISBURG, OH - 45342-5400 (mailing address contact number: 937-436-4658).

Location: 3535 Southern Blvd, Kettering, OH, 45342-5400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730147919
Provider Name
Timothy Shawn Scanlon JR.
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3535 Southern Blvd, Kettering, OH, 45342-5400
Phone Number
937-395-8166
Fax Number
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0078665 05 OH
institution
Provider Business Practice Location Address Details
Address
3535 Southern Blvd
City
Kettering
State
Ohio
Zip
45429-1221
Phone Number
937-395-8166
Fax Number
person
Provider Business Mailing Address Details
Address
3535 Southern Blvd
City
Kettering
State
Ohio
Zip
45429-1221
Phone Number
937-395-8166
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
50.001117 (Ohio)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
2540 (Arizona)
Definition
Definition to come...
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