MR. TIMOTHY SHAWN SCANLON JR. PA-C
NPI 1730147919
Physician Assistant in Kettering, OH
NPI Status: Active since May 04, 2006
Contact Information
3535 SOUTHERN BLVD
KETTERING, OH
ZIP 45429
Phone: (937) 395-8166
- Individual
- Male
- Physician Assistant
- Accepts Insurance
- Medicare Quality Reporting
About TIMOTHY SCANLON
This page provides the complete NPI Profile along with additional information for Timothy Scanlon, a primary care provider established in Kettering, Ohio with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1730147919 assigned on May 2006. The practitioner's primary taxonomy code is 363A00000X with license number 50.001117 (OH). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1730147919
- Provider Name
- MR. TIMOTHY SHAWN SCANLON JR. PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3535 SOUTHERN BLVD KETTERING, OH 45429
- Location Phone
- (937) 395-8166
- Mailing Address
- 3131 NEWMARK DR STE 220 MIAMISBURG, OH 45342
- Mailing Phone
- (937) 436-4658
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-04-2006
- Last Update Date
- 05-06-2020
- Code Navigator
A primary care provider (PCP) like Timothy Scanlon sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 3535 Pentagon Blvd
Beavercreek, OH 45431
(937) 702-4500 - 100 Kettering Way
Franklin, OH 45005
(937) 458-4700 - 4000 Miamisburg Centerville Rd
Miamisburg, OH 45342
(937) 384-8791
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 50.001117
- License State
- OH
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 2540 (AZ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Silver 5000 $20 Generic Drugs - HMO
- Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0078665 | MEDICAID (05) | OH |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Collection and follow-up on patient experience and satisfaction data on beneficiary engagement | Yes | N/A |
| Collection and follow-up on patient experience and satisfaction data on beneficiary engagement, including development of improvement plan. | ||
| Participation in MOC Part IV | Yes | N/A |
| Participation in Maintenance of Certification (MOC) Part IV, such as the American Board of Internal Medicine (ABIM) Approved Quality Improvement (AQI) Program, National Cardiovascular Data Registry (NCDR) Clinical Quality Coach, Quality Practice Initiative Certification Program, American Board of Medical Specialties Practice Performance Improvement Module or ASA Simulation Education Network, for improving professional practice including participation in a local, regional or national outcomes registry or quality assessment program. Performance of monthly activities across practice to regularly assess performance in practice, by reviewing outcomes addressing identified areas for improvement and evaluating the results. | ||
| Use of QCDR patient experience data to inform and advance improvements in beneficiary engagement. | Yes | N/A |
| Use of QCDR patient experience data to inform and advance improvements in beneficiary engagement. | ||
Reviews for MR. TIMOTHY SHAWN SCANLON JR. PA-C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 3 | 0 | 1 | 4 | 7 | 9 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 6 | 0 | 2 | 4 | 14 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 6 + 0 + 2 + 4 + 1 + 4 + 9 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1730147919 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720089352 | JAMES ALAN BRUCE M.D. Individual | Anesthesiology | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 435-6136 |
| 1942286851 | KENNETH W BROCK MD Individual | Personal Emergency Response Attendant | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 395-8166 |
| 1801873153 | JAMES J HOWARD MD Individual | Emergency Medicine | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 436-4658 |
| 1316924616 | KEITH D GOLDBLUM MD Individual | Emergency Medicine | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 436-4658 |
| 1114904018 | JOHN S KASPER DO Individual | Personal Emergency Response Attendant | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 395-8166 |
| 1205815404 | DR. ROY WALTER HAINES M.D. Individual | Anesthesiology | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1205815412 | DR. DIANE F IMBROGNO M.D. Individual | Anesthesiology | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1457330565 | DR. SEONGBAE KIM M.D. Individual | Anesthesiology | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1629057732 | DR. PATRICIA S KNOPF M.D. Individual | Anesthesiology | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1528048592 | DR. SALLY A MASHBURN M.D. Individual | Anesthesiology | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1710967781 | DR. DAVID J PAPPENFUS M.D. Individual | Anesthesiology | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1780664623 | DR. RONALD S WARGACKI M.D. Individual | Anesthesiology | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1518947597 | DR. RANDALL R RALSTON M.D. Individual | Anesthesiology | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1942280201 | DR. DAVID RICHARD VUKIN M.D. Individual | Anesthesiology | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1316912306 | RICHARD THOMAS BEERS M.D. Individual | Physical Medicine & Rehabilitation | 3535 SOUTHERN BLVD DEPT OF PMR KETTERING, OH 45429 (937) 395-8666 |
| 1912973728 | AUGUSTUS B BALES CRNA Individual | Nurse Anesthetist, Certified Registered | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1578539094 | VICKI L CLARK CRNA Individual | Nurse Anesthetist, Certified Registered | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1134196918 | VICKI S DURSCH CRNA Individual | Nurse Anesthetist, Certified Registered | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1558338111 | TIMOTHY J COLLINS CRNA Individual | Nurse Anesthetist, Certified Registered | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 293-8228 |
| 1487621934 | KAPO L LEW CRNA Individual | Nurse Anesthetist, Certified Registered | 3535 SOUTHERN BLVD KETTERING, OH 45429 (937) 298-4331 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730147919, enumerated in the NPI registry as an "individual" on May 04, 2006
The provider is located at 3535 Southern Blvd Kettering, Oh 45429 and the phone number is (937) 395-8166
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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