Edward D Scanlan MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0048898 Issued in FL

Legal business name

EDWARD D SCANLAN MD PA

Practice address

425 S Kings Ave
Brandon, FL 33511-5919

Phone

(813) 685-1220

NPI assigned

Jul 29, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sue C Brick

Title

Ofc Manager

Phone

(813) 685-1220

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1114182235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S KINGS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115919",
            "telephone_number": "813-685-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S KINGS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115919",
            "telephone_number": "813-685-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD D SCANLAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "BRICK",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFC MANAGER",
        "authorized_official_telephone_number": "813-685-1220"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0048898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "04067",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Edmond-Davis, MD
• Dawn Edmonds
• Lindsay Edmonds
• Gabrielle Edrich
• Brittany M Edsall, RBT
• Edward S Mortellaro Jr DMD PA
• Eric Justin Edwards, M.D.
• Sierra Edwards
• Stephen Thomas Edwards II, LMFT, BCPC
• Effect Behavioral Health Solutions

• Internal Medicine Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.