Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Timothy Shawn Scanlon Jr., PA-C

Individual provider Medical Physician Assistant · NPI 1730147919

Mr. Timothy Shawn Scanlon Jr., PA-C is a Medical Physician Assistant in Kettering, Ohio. Works from 4 locations. Licensed in Arizona and Ohio.

Licensed in
AZ, OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3535 Southern Blvd
Kettering, OH 45429-1221
Phone: (937) 395-8166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 — (937) 702-4500
  • 100 Kettering Way, Franklin, OH 45005-1155 — (937) 458-4700
  • 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 — (937) 384-8791

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.001117 (OH)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2540 (AZ)

Record details

NPI number1730147919
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESMay 6, 2020
Certification dateMay 6, 2020

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