Active NPI
Robert Clayton Scanlon III, D.O.
- Emergency Medicine Physician
- Kansas City, MO
National Provider Identifier
1790997567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5101016927
- Practice address
- 1000 Carondelet Dr
Attn: Emergency Department
Kansas City, MO 64114-4673 - Phone
- (816) 942-2710
- NPI assigned
- May 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 5101016927 | MI | Primary |
Addresses
Primary practice location
1000 Carondelet Dr
Attn: Emergency Department
Kansas City, MO 64114-4673
Mailing address
5407 W 124TH CT
Overland Park, KS 66209-3247
Phone (417) 894-3822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250305001181 | KS | Order and Referring Only - Emergency Medicine | 2163547449 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101016927 | MI | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306281600000",
"number": "1790997567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5407 W 124TH CT",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662093247",
"telephone_number": "417-894-3822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CARONDELET DR",
"address_2": "ATTN: EMERGENCY DEPARTMENT",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641144673",
"telephone_number": "816-942-2710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCANLON",
"first_name": "ROBERT",
"middle_name": "CLAYTON",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2011-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5101016927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.