Active NPI
Patrick John Scanlon, MD
- Vascular & Interventional Radiology Physician
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 73317
- Practice address
- 420 E 1St St
Duluth, MN 55805-1901 - Phone
- (218) 786-8364
- NPI assigned
- Apr 28, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 73317 | MN | Primary |
Addresses
Primary practice location
420 E 1St St
Duluth, MN 55805-1901
Mailing address
400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
Other practice location 1
7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone (612) 573-2200
Other practice location 2
196 Mississippi River Blvd S
Saint Paul, MN 55105-1111
Phone (651) 895-0698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- University of Minnesota Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
420 E 1St St
Duluth, MN 55805-1901
Phone (218) 786-8364
Hospital & facility affiliations
- Essentia Health St Mary'S Medical Center
- Essentia Health Duluth
- Tamarack Health Hayward Medical Center
- Tamarack Health Ashland Medical Center
- Essentia Health Virginia
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73317 | MN | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic LTD | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Noran Neurological Clinic P.a. | Current | Accepting new patients | |
| Warren Community Hospital, Inc. | Current | Accepting new patients | |
| St Francis Regional Medical Center | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| The Duluth Clinic, LTD. | Current | Accepting new patients | |
| Stevens Community Medical Center Inc | Current | Accepting new patients | |
| Warren Community Hospital, Inc. | Current | Accepting new patients | |
| Stevens Community Medical Center Inc. | Current | Accepting new patients | |
| Stevens Community Medical Center Inc | Current | Accepting new patients | |
| St. Francis Regional Medical Center | Current | Accepting new patients | |
| Quest Diagnostics LLC Il | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
111 Hundertmark Rd
Chaska, MN 55318
Phone (952) 361-2447
420 E 1st St
Duluth, MN 55805
Phone (218) 786-1265
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
7595 Anagram Dr
Eden Prairie, MN 55344
Phone (612) 573-2214
265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
2828 Chicago Ave
Ste 200
Minneapolis, MN 55407
Phone (612) 879-1502
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
3601 Minnesota Dr
Ste 200
Minneapolis, MN 55435
Phone (952) 992-5691
400 E 1st St
Morris, MN 56267
Phone (320) 589-1313
1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200
500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191
300 W Good Samaritan Dr
Warren, MN 56762
Phone (218) 745-4211
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Cloquet, MN
- NPI 1902563638
-
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
- Specialist
- Bloomington, MN
- NPI 1710098306
-
- Urgent Care Clinic/Center
- Shakopee, MN
- NPI 1447605514
-
- Clinic/Center
- Starbuck, MN
- NPI 1417105552
-
- Critical Access Hospital
- Warren, MN
- NPI 1073516357
-
- Urgent Care Clinic/Center
- Buffalo, MN
- NPI 1114533031
-
- Physician Assistant
- Savage, MN
- NPI 1689103442
-
- Critical Access Hospital
- Morris, MN
- NPI 1487678942
-
- Medicare Defined Swing Bed Hospital Unit
- Morris, MN
- NPI 1649705690
-
- Multi-Specialty Clinic/Center
- Grand Rapids, MN
- NPI 1184132664
-
- Community/Retail Pharmacy
- Hinckley, MN
- NPI 1245081066
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Virginia, MN
- NPI 1083617120
-
- General Acute Care Hospital
- Duluth, MN
- NPI 1457393035
-
- Critical Access Hospital
- Hayward, WI
- NPI 1912992827
-
- Critical Access Hospital
- Ashland, WI
- NPI 1437179231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1881129674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 3RD ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051951",
"telephone_number": "218-786-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E 1ST ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051901",
"telephone_number": "218-786-8364"
}
],
"practiceLocations": [
{
"address_1": "7595 Anagram Dr",
"address_purpose": "LOCATION",
"city": "Eden Prairie",
"state": "MN",
"postal_code": "553447399",
"country_code": "US",
"telephone_number": "612-573-2200",
"fax_number": "612-573-2274",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "196 Mississippi River Blvd S",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551051111",
"country_code": "US",
"telephone_number": "651-895-0698",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCANLON",
"first_name": "PATRICK",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-28",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MN",
"license": "73317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.