Robert Scanlon (NPI# 1609874197, PAC ID# 6507053758) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1609874197 |
| PAC ID by PECOS | 6507053758 |
| Professional Enrollment ID | I20110811000366 |
| Full Name | Robert Scanlon |
| Organization Legal Name | VIDALIA PULMONOLOGY CENTER LLC |
| Address |
1811 Edwina Dr Vidalia GA 30474-8963 |
| Phone Number | 9125388105 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE |
| Group Practice PAC ID | 5991850695 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110128 | MEADOWS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1811 Edwina Dr, Vidalia, GA 30474-8963 | 9125388105 | VIDALIA PULMONOLOGY CENTER LLC |
| Organization Legal Name | VIDALIA PULMONOLOGY CENTER LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark F Hoerman | Pulmonary Disease | Vidalia Pulmonology Center LLC | 1811 Edwina Dr, Vidalia, GA 30474-8963 |
| Debra D Durden | Nurse Practitioner | Vidalia Pulmonology Center LLC | 1811 Edwina Dr, Vidalia, GA 30474-8963 |
| Street Address |
1811 EDWINA DR |
| City | VIDALIA |
| State | GA |
| Zip | 30474-8963 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark F Hoerman | Pulmonary Disease | Vidalia Pulmonology Center LLC | 1811 Edwina Dr, Vidalia, GA 30474-8963 |
| Kurt P Hofmann | General Surgery | Vidalia Surgical Associates LLC | 1811 Edwina Dr, Vidalia, GA 30474-8963 |
| Debra D Durden | Nurse Practitioner | Vidalia Pulmonology Center LLC | 1811 Edwina Dr, Vidalia, GA 30474-8963 |
| Joy M Dunn | General Surgery | Vidalia Surgical Associates LLC | 1811 Edwina Dr, Vidalia, GA 30474-8963 |
| Gregory Norkus | General Surgery | Vidalia Surgical Associates LLC | 1811 Edwina Dr, Vidalia, GA 30474-8963 |
| Kendrix Jermaine Evans | General Surgery | Vidalia Surgical Associates LLC | 1811 Edwina Dr, Vidalia, GA 30474-8963 |
| Henry Leon Ferland | General Surgery | Vidalia Surgical Associates LLC | 1811 Edwina Dr, Vidalia, GA 30474-8963 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Casey Spivey | Orthopedic Surgery | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
| Karen Pamela Mcneely | Nurse Practitioner | Peterson Dermatology, P.C. | 305 1st St W, Vidalia, GA 30474 |
| David H Paine | Internal Medicine | 1006 A Mt Vernon Rd, Vidalia, GA 30474 | |
| Walter J Revell Jr. | General Surgery | Peterson Dermatology, P.C. | 305 1st St W, Vidalia, GA 30474 |
| Archie J Champion | Physician Assistant | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
| Letty Revell Peterson | Dermatology | Peterson Dermatology, P.C. | 305 1st St W, Vidalia, GA 30474 |
| Charles M Spivey | Orthopedic Surgery | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
| Richard M Proenza | Physician Assistant | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
| Paul J Giles | Cardiovascular Disease (cardiology) | Paul Joseph Giles Md LLC | 1006 Mount Vernon Rd, Vidalia, GA 30474-3029 |
| Robert Andrew Bell | Nurse Practitioner | Paul Joseph Giles Md LLC | 1006 Mount Vernon Rd, Vidalia, GA 30474-3029 |
| Find all physicians in zip 30474 | |||
| City | VIDALIA |
| Zip Code | 30474 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | VIDALIA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Robert 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.