Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ryan Thomas Scanlon

Individual provider Physician Assistant · NPI 1609752203

Ryan Thomas Scanlon is a Physician Assistant in Roanoke, Virginia. Qualified in 2025, 1 year ago. Registered with an NPI since 2025.

Years since qualifying
1
In the registry since
2025

Practice location Address checks out

611 S Jefferson St Apt 1010
Roanoke, VA 24011-2443
Phone: (703) 867-0998
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1609752203
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 12, 2025
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing address611 S Jefferson St Apt 1010, Roanoke, VA 24011-2443

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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