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JOHN CHARLES SCANLON MD NPI 1073582623


NPI Information

NPI: 1073582623
Provider Name: JOHN CHARLES SCANLON, MD
Classification: Internal Medicine - 207RC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Address:
1500 SALEM ST
LAFAYETTE, IN
ZIP 47904
Phone: (765) 448-8000
Get Directions

John Charles Scanlon, MD is a critical care medicine internal medicine in Lafayette, IN. The provider is 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. John Charles Scanlon, MD NPI is 1073582623. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1500 SALEM ST
LAFAYETTE, IN
ZIP 47904-164
Phone: (765) 448-8000
Fax: (765) 448-7631

The enumeration date for this NPI number is 3/16/2006 and was last updated on 7/23/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary Disease01023751AINDIANANo
2207RC0200XInternal MedicineCritical Care Medicine01023751AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100231140MEDICAIDINDIANA
2815490TMEDICARE PININDIANA
3810000511MEDICARE PININDIANA
4815500R2MEDICARE PININDIANA
5000000191108OTHERINDIANAANTHEM PROVIDER NUMBER
69397438OTHERINDIANAPHCS PID NUMBER
7SC80461029MEDICAIDINDIANA
8815450XMEDICARE PININDIANA
910825885OTHERINDIANACAQH NUMBER
10D05838MEDICARE UPININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.