Clayton G Scanlon (NPI# 1073778460, PAC ID# 1850557547) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1073778460 |
| PAC ID by PECOS | 1850557547 |
| Professional Enrollment ID | I20141013001397 |
| Full Name | Clayton G Scanlon |
| Organization Legal Name | RETINA ASSOCIATES OF ST LOUIS, INC |
| Address |
1224 Graham Rd Suite 3011 Florissant MO 63031-8028 |
| Phone Number | 3148391211 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 3577522101 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260180 | CHRISTIAN HOSPITAL NORTHEAST |
| Address | Phone | Organization |
|---|---|---|
| 12990 Manchester Rd, Suite 104, Des Peres, MO 63131-1860 | 3148728884 | RETINA ASSOCIATES OF ST LOUIS, INC |
| 1224 Graham Rd, Suite 3011, Florissant, MO 63031-8028 | 3148391211 | RETINA ASSOCIATES OF ST LOUIS, INC |
| 6680 Chippewa St, Suite 220, Saint Louis, MO 63109-2537 | 3143510101 | EYE PHYSICIANS OF SAINT LOUIS |
| 901 Patients 1st Dr, Washington, MO 63090-4700 | 3148391211 | RETINA ASSOCIATES OF ST LOUIS, INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | RETINA ASSOCIATES OF ST LOUIS, INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blonie W Dudney Jr. | Ophthalmology | Retina Associates of St Louis, Inc | 1224 Graham Rd, Suite 3011, Florissant, MO 63031-8028 |
| Carla Territo | Ophthalmology | Retina Associates of St Louis, Inc | 1224 Graham Rd, Suite 3011, Florissant, MO 63031-8028 |
| David A Glaser | Ophthalmology | Retina Associates of St Louis, Inc | 1224 Graham Rd, Suite 3011, Florissant, MO 63031-8028 |
| Street Address |
1224 GRAHAM RD SUITE 3011 |
| City | FLORISSANT |
| State | MO |
| Zip | 63031-8028 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blonie W Dudney Jr. | Ophthalmology | Retina Associates of St Louis, Inc | 1224 Graham Rd, Suite 3011, Florissant, MO 63031-8028 |
| Robert F Schwarze | Dermatology | 1224 Graham Rd, Suite 1110, Florissant, MO 63031-8028 | |
| Kabeya Mwintshi | Nephrology | Nephrology and Hypertension Specialists, LLC | 1224 Graham Rd, Suite 2005, Florissant, MO 63031-8026 |
| Robert Austin Djali | Podiatry | Shari L Kaminsky, Dpm, Jerry M Liddell, Dpm, PC | 1224 Graham Rd, Suite 3010, Florissant, MO 63031-8028 |
| Jerry M Liddell | Podiatry | Shari L Kaminsky, Dpm, Jerry M Liddell, Dpm, PC | 1224 Graham Rd, Suite 3010, Florissant, MO 63031-8028 |
| Hamid A Hosseini | Obstetrics/gynecology | 1224 Graham Rd, Suite 1104, Florissant, MO 63031-8028 | |
| Ernesto Gutierrez | Internal Medicine | 1224 Graham Rd, Suite 1111, Florissant, MO 63031-8028 | |
| Eric W Pitts | Dermatology | 1224 Graham Rd, Suite 1108, Florissant, MO 63031-8028 | |
| Carla Territo | Ophthalmology | Retina Associates of St Louis, Inc | 1224 Graham Rd, Suite 3011, Florissant, MO 63031-8028 |
| Shari L Kaminsky | Podiatry | Shari L Kaminsky, Dpm, Jerry M Liddell, Dpm, PC | 1224 Graham Rd, Suite 3010, Florissant, MO 63031-8028 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank R Danna Jr. | Clinical Social Worker | Deer Oaks Mental Health Associates PC | 250 New Florissant Rd S, Crystal Creek Nursing and Rehabilition Center, Florissant, MO 63031 |
| Deborah Lynn Tannenbaum | Clinical Social Worker | Deer Oaks Mental Health Associates PC | 615 Rancho Ln, Florissant, MO 63031-1717 |
| Elizabeth A Allen | Clinical Social Worker | 1104 Liberty Gardens Ct, Florissant, MO 63031-1948 | |
| Charles M Lutz | Optometry | Nu-crown, LLC | 935 N Hwy 67 N, Florissant, MO 63031-2917 |
| Joseph A Bendet | Certified Registered Nurse Anesthetist (crna) | 900 N Hwy 67, Florissant, MO 63031-2919 | |
| Mark J Reddan | Optometry | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Julie M Sturm | Ophthalmology | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Thomas Eric Stickel | Optometry | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Daniel J Watson | Ophthalmology | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| John P Goltschman | Ophthalmology | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Find all physicians in zip 63031 | |||
| City | FLORISSANT |
| Zip Code | 63031 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | FLORISSANT + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Clayton G Scanlon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.