TIMOTHY M SCANLAN (NPI# 1528054301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528054301 |
| Entity Type | Individual |
| Full Name | TIMOTHY M SCANLAN |
| Credential | MD |
| Practice Address |
4767 Dahlia Way N Hugo MN 55038-6060 |
| Practice Telephone | 6514934856 |
| Mailing Telephone | 6514934856 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2012-11-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
20245 | MN | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
17663 | KS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063491678 | Timothy C Scanlan | Dentist | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-12 |
| Street Address |
4767 DAHLIA WAY N |
| City | HUGO |
| State | MN |
| Zip Code | 55038-6060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861948093 | Shanasi Mason | Counselor | 7041 20th Ave S, Centerville, MN 55038 | 2016-08-28 |
| 1982052601 | Patricia Morgan-john | Counselor | 1784 Steven Lane, Centerville, MN 55038 | 2016-06-03 |
| 1811356306 | Drytech Co. LLC | Contractor | 13483 Fenway Blvd Circle No., Hugo, MN 55038 | 2016-02-12 |
| 1750748422 | Lisa Chong Jou | Counselor | 7041 20th Avenue South, Centerville, MN 55038 | 2016-01-26 |
| 1285997577 | William Michael Beeves | Counselor | 7041 20th Avenue S, Centerville, MN 55038 | 2012-06-21 |
| 1720230089 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 14688 Everton Ave., Suite 101, Hugo, MN 55038 | 2008-10-17 |
| 1881868669 | Prili D Gandhi | Family Medicine | 14688 Everton Ave, He Hugo Clinic, Hugo, MN 55038 | 2008-04-14 |
| 1437276763 | Northeast Eye Care of Hugo | Optometrist | 14643 Mercantile Blvd, Suite 112, Hugo, MN 55038 | 2007-03-23 |
| 1134284631 | Hugo Dental Care Pa | Dentist | 5677 147th St N, Hugo, MN 55038 | 2006-12-26 |
| 1023172657 | Sean Patrick Bates | Dentist | 14755 Victor Hugo Blvd, Suite 103, Hugo, MN 55038 | 2006-12-20 |
| Find all providers in zip 55038 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104145978 | Steady State Medicine, LLC | Family Medicine | 4001 Stinson Blvd Ste 403, Minneapolis, MN 55421-3424 | 2010-05-19 |
| 1760557888 | Jeffery Carl Morgan | Family Medicine | 6200 Excelsior Blvd Suite 202, St. Louis Park, MN 55416 | 2006-11-22 |
| 1043829625 | Sasaki Medical LLC | Family Medicine | 1919 University Ave W, St Paul, MN 55104 | 2020-07-29 |
| 1376166496 | Central Medical Wellness Inc | Family Medicine | 821 Raymond Ave Ste 230, Saint Paul, MN 55114-1503 | 2020-05-22 |
| 1629532429 | Ecc Addiction & Toxicology Services LLC | Family Medicine | 2829 University Ave Se Ste 730, Minneapolis, MN 55414-3279 | 2019-01-25 |
| 1326490475 | Sasaki Medical LLC | Family Medicine | 2233 Hamline Ave N, Ste 110, Roseville, MN 55113-5009 | 2016-07-12 |
| 1508209842 | Alexander Matthew Hubbell | Family Medicine | 606 24th Ave S Ste 602, Minneapolis, MN 55454-1438 | 2013-04-16 |
| 1790987709 | Leigh Rowan-kelly | Family Medicine | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2007-06-01 |
| 1366562662 | Rowena Louise Archibald | Family Medicine | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2007-03-30 |
Please comment or provide details below to improve the information on TIMOTHY M SCANLAN.
| 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.