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

Shane Jeremy Scanlon, DO

Individual provider Family Medicine Physician · NPI 1104353804

Shane Jeremy Scanlon, DO is a Family Practice in Allentown, Pennsylvania. Graduated from Edward via Col of Osteo Medicine-Carolinas Campus in 2017, 9 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
9
Trained at
Edward via Col of Osteo Medicine-Carolinas Campus
Licensed in
PA
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

250 Cetronia Rd Ste 115
Allentown, PA 18104-9168
Phone: (610) 395-0307
Fax: (610) 395-0950
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS020553 (PA)

Record details

NPI number1104353804
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 12, 2017
Last updated in NPPESJuly 29, 2020
Certification dateJuly 29, 2020
Mailing address2100 Mack Blvd, Allentown, PA 18103-5622

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Graduated 2017 (9 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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