SCOTT JAMES MAHON D.O. NPI 1144312943

NPI Information

NPI: 1144312943
Provider Name: SCOTT JAMES MAHON, D.O.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: SAMARITAN PACIFIC HEALTH SERVICES INC

PECOS Registration: Yes

Address:
2160 S 1ST AVE
MAYWOOD, IL
ZIP 60153
Phone: (708) 216-9000
Get Directions

Scott James Mahon, D.O. is a diagnostic radiology radiology in Maywood, IL with 11 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Scott James Mahon, D.O. NPI is 1144312943. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduation Year:2013

The provider's business location address is:

2160 S 1ST AVE
MAYWOOD, IL
ZIP 60153-328
Phone: (708) 216-9000

The NPI 1144312943 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 11/2/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	DO191292	OREGON	Yes
2	2085R0202X	Radiology	Diagnostic Radiology	125062715	ILLINOIS	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00465572	OTHER	ILLINOIS	MEDICARE RAILROAD/PALMETTO GBA
2	085002811	OTHER	ILLINOIS	LICENSE

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: 11/14/2023

NPI Synchronization or Removal

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