Michael J Scanlon (NPI# 1447250352, PAC ID# 1254358955) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1447250352 |
PAC ID by PECOS | 1254358955 |
Professional Enrollment ID | I20071011000271 |
Full Name | Michael J Scanlon |
Organization Legal Name | THE FOOT GROUP, LLC |
Address |
162 Mansfield Ave A Willimantic CT 06226-2041 |
Phone Number | 8604564250 |
Gender | M |
Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
Graduation Year | 1994 |
Primary Specialty | PODIATRY |
Group Practice PAC ID | 3870673197 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
070003 | DAY KIMBALL HOSPITAL |
070021 | WINDHAM COMMUNITY MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
162 Mansfield Ave, A, Willimantic, CT 06226-2041 | 8604564250 | THE FOOT GROUP, LLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | THE FOOT GROUP, LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Karla R Scanlon | Podiatry | The Foot Group, LLC | 162 Mansfield Ave, A, Willimantic, CT 06226-2041 |
Street Address |
162 MANSFIELD AVE A |
City | WILLIMANTIC |
State | CT |
Zip | 06226-2041 |
Name | Specialty | Organization | Address |
---|---|---|---|
Karla R Scanlon | Podiatry | The Foot Group, LLC | 162 Mansfield Ave, A, Willimantic, CT 06226-2041 |
Jo Ann Robichaux | Physical Therapy | Carlson Therapy Network PC | 162 Mansfield Ave, Willimantic, CT 06226-2061 |
Name | Specialty | Organization | Address |
---|---|---|---|
Peter D Jones | Internal Medicine | Peter D Jones Md, PC | 14 Quarry St, Willimantic, CT 06226-1232 |
Scott R Berger | Internal Medicine | 14 Quarry St, Suite 2, Willimantic, CT 06226-1232 | |
William J Kaufold | Ophthalmology | Windham Eye Group P.C. | 83 Quarry St, Willimantic, CT 06226-1238 |
Dana Phillip Woods | Ophthalmology | Windham Eye Group P.C. | 83 Quarry St, Willimantic, CT 06226-1238 |
Ayman Abadeer | Family Practice | Inhealth Med Ct PC | 37 Ivan Hill St, Willimantic, CT 06226-2001 |
Teresa Little Smith | Nurse Practitioner | Inhealth Med Ct PC | 37 Ivan Hill St, Willimantic, CT 06226-2001 |
Jennifer L Stroh | Optometry | Robert F. Dibble | 1120 Main St, Willimantic, CT 06226-2014 |
Robert F Dibble | Ophthalmology | Robert F. Dibble | 1120 Main St, Willimantic, CT 06226-2014 |
Morton Glasser | Family Medicine | Generations Family Health Center Inc | 40 Mansfield Ave, Willimantic, CT 06226-2018 |
Ralph Hirschfeld | Nurse Practitioner | Generations Family Health Center Inc | 40 Mansfield Ave, Willimantic, CT 06226-2018 |
Find all physicians in zip 06226 |
City | WILLIMANTIC |
Zip Code | 06226 |
Specialty | PODIATRY |
City + Specialty | WILLIMANTIC + PODIATRY |
Please comment or provide details below to improve the information on Michael J 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.