John Charles Scanlon
Pulmonary Disease Critical Care Medicine
1500 Salem St
Lafayette
, Indiana 47904-2164
John Charles Scanlon
Pulmonary Disease Critical Care Medicine
1500 Salem St
Lafayette
, Indiana 47904-2164
(765) 448-8000
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About
Features
Specialties
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- John Charles Scanlon
- Po Box 5545
- Lafayette, IN
- Zip : 47903-5545
- Phone : (765) 448-8000
Second Address
- John Charles Scanlon
- 1500 Salem St
- Lafayette, IN
- Zip : 47904-2164
- Fax : (765) 448-7631
- Phone : (765) 448-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0200X | Critical Care Medicine | 01023751A | IN |
| N | 207RP1001X | Pulmonary Disease | 01023751A | IN |
National Provider Identifier
| NPI | 1073582623 |
|---|---|
| Provider Name | John Charles Scanlon |
| First Address | Lafayette, IN 47903-5545 |
| Second Address | Lafayette, IN 47904-2164 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/03/2006 |
| Last Update Date | 23/07/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000191108 | ANTHEM PROVIDER NUMBER (01) | IN |
| 100231140 | (05) | IN |
| 10825885 | CAQH NUMBER (01) | IN |
| 9397438 | PHCS PID NUMBER (01) | IN |
| D05838 | (02) | IN |
| SC80461029 | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.