ROBERT CLAYTON SCANLON D.O. NPI 1013915792

NPI Information

NPI: 1013915792
Provider Name: ROBERT CLAYTON SCANLON, D.O.
Classification: Urology - 208800000X
Entity Type: Individual
Address:
1001 E PRIMROSE ST
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 875-3000
Get Directions

Robert Clayton Scanlon, D.O. is an urology in Springfield, MO. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Robert Clayton Scanlon, D.O. NPI is 1013915792. 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:

1001 E PRIMROSE ST
SPRINGFIELD, MO
ZIP 65807-155
Phone: (417) 875-3000

The enumeration date for this NPI number is 7/7/2005 and was last updated on 6/30/2014.

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	208800000X	Urology		R5F54	MISSOURI	Yes

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	2075	OTHER	MISSOURI	GATEWAY EDI SUBMITTER ID
2	340006342	OTHER		PALMETTO GBA-MRR ID
3	10028	OTHER	MISSOURI	BC/BS PROVIDER ID
4	P00364221	OTHER		MEDICARE RR OCH
5	000003339	MEDICARE PIN	MISSOURI
6	333950115	OTHER		MEDICARE PIN OCH
7	19-40002	OTHER	MISSOURI	UHC PROVIDER ID
8	1013915792	MEDICAID	MISSOURI
9	242280501	MEDICAID	MISSOURI
10	A10693	MEDICARE UPIN
11	151490001	MEDICARE OSCAR/CERTIFICATION	MISSOURI

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

NPI Synchronization or Removal

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