AIDA E SCANLON (NPI# 1427409309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427409309 |
| Entity Type | Individual |
| Full Name | AIDA E SCANLON |
| Credential | P.A. |
| Practice Address |
3445 S Dixie Dr Moraine OH 45439 |
| Mailing Address |
3445 S Dixie Dr Suite 100 Moraine OH 45439-2330 |
| Practice Telephone | 9375340155 |
| Practice Fax Number | 9375340166 |
| Mailing Telephone | 9375340155 |
| Mailing Fax Number | 9375340166 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2018-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50000999RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
50000999RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | PENDING | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4000 Miamisburg Centerville Rd Ste 10, Miamisburg, OH 453427615 | 9373844820 | 9373844826 |
| Street Address |
3445 S DIXIE DR |
| City | MORAINE |
| State | OH |
| Zip Code | 45439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104455260 | Joseph Michael Meacham | Counselor | 3059 Kettering Blvd., Moraine, OH 45439 | 2020-04-02 |
| 1932673597 | Sabrina M Nichols | Behavior Technician | 5290 Cobblegate Drive, Moraine, OH 45439 | 2019-01-17 |
| 1013406040 | Chevelle Antionette Bennett | Licensed Practical Nurse | 4964 Springboco Pk, Mocaine, OH 45439 | 2018-05-04 |
| 1205332418 | Vincent A Mcbride | Case Manager/Care Coordinator | 3350 South Kettering Blvd, Moraine, OH 45439 | 2018-04-05 |
| 1124532635 | Rodescu Macklin | Counselor | 200 Daruma Parkway, Moraine, OH 45439 | 2017-11-20 |
| 1194248872 | Blu Diamond Home Care LLC | Home Health | 3481 Office Park Drive, Suite 12d, Dayton, OH 45439 | 2017-07-25 |
| 1003342692 | Chadonn Cummings | Social Worker | 3905 Kettering Blvd, Moriane, OH 45439 | 2017-05-03 |
| 1962959098 | Jessica Woody | Counselor | 3011kettering Blvd, Suite 311, Moraine, OH 45439 | 2016-09-07 |
| 1881048908 | Judith Crum | Counselor | 4983 Joyce Dr., Dayton, OH 45439 | 2016-04-14 |
| 1114384310 | Joseph Premanandan | Internal Medicine | 3033 Kettering Boulevard, Suite 100, Moraine, OH 45439 | 2016-01-20 |
| Find all providers in zip 45439 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033624192 | Jennifer Allender | Physician Assistant | 3535 Kettering Blvd, Moraine, OH 45439-2014 | 2017-12-11 |
| 1225669195 | Heather Townsend | Physician Assistant | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-01-30 |
| 1427533595 | David Malesko | Physician Assistant | 5348 Lamme Rd, Moraine, OH 45439-3215 | 2018-09-25 |
| 1447748793 | Scott David Kearney | Physician Assistant | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2018-04-23 |
| 1508099425 | Yvonne Victoria Kuhn | Physician Assistant | 5348 Lamme Rd, Moraine, OH 45439-3215 | 2009-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750221 | Kathryn Eileen Aurand | Physician Assistant | 1020 E 346th St, Eastlake, OH 44095-2629 | 2020-11-06 |
| 1508467010 | Amanda Dawn Smith | Physician Assistant | 1621 Spruce St, Zanesville, OH 43701-2534 | 2020-11-03 |
| 1356941603 | Ingrid Mompoint-butler | Physician Assistant | 1911 Oakland Park Ave, Columbus, OH 43224-3630 | 2020-10-27 |
| 1083213946 | Breanne Lyon | Physician Assistant | 870 S Troy Ave, Cincinnati, OH 45246-4620 | 2020-10-21 |
| 1669071908 | Hannah Murrin | Physician Assistant | 4329 Marival Way, Mason, OH 45040-2867 | 2020-10-19 |
| 1861091241 | Beau Webb | Physician Assistant | 6017 Cruxten Dr, Dayton, OH 45424-3702 | 2020-10-18 |
| 1467051821 | Kelsey Nicole Weiss | Physician Assistant | 9025 Peacock Way Unit 206, West Chester, OH 45069-1659 | 2020-10-18 |
| 1215535489 | Caitlin Cahill | Physician Assistant | 2470 Merrybell Ct, Grove City, OH 43123-8724 | 2020-10-11 |
| 1174121461 | Thuy Lam Pham | Physician Assistant | 505 Brodywood Dr, Toledo, OH 43615-4589 | 2020-10-09 |
| 1508463506 | John Ronald Creighton | Physician Assistant | 7460 Marion St Apt B, Chesterhill, OH 43728-9613 | 2020-10-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.