{"npi":"1609874197","type":"NPI-1","status":"active","name":{"display":"Robert Scanlon DO","other":[],"first":"ROBERT","last":"SCANLON","credential":"DO"},"specialty":{"primary_taxonomy":"207RP1001X","primary_taxonomy_description":"Pulmonary Disease Physician","slug":"pulmonary-disease-physician","schema_org_specialty":null,"all":[{"code":"207RC0200X","description":"Critical Care Medicine (Internal Medicine) Physician","primary":false,"state":"GA","license":"65886"},{"code":"207RP1001X","description":"Pulmonary Disease Physician","primary":true,"state":"GA","license":"65886"}]},"addresses":[{"purpose":"LOCATION","street_1":"1811 EDWINA DR","city":"VIDALIA","state":"GA","postal_code":"304748963","country_code":"US","phone":"9125388105","fax":"9125388109"},{"purpose":"MAILING","street_1":"PO BOX 407","city":"VIDALIA","state":"GA","postal_code":"304750407","country_code":"US","phone":"9125374986","fax":"9125388109"}],"license":{"state":"GA","number":"65886"},"identifiers":[{"type_code":"01","label":"Other","value":"9392179","state":null,"issuer":"CIGNA"},{"type_code":"01","label":"Other","value":"P2754298","state":null,"issuer":"OXFORD"},{"type_code":"05","label":"Medicaid","value":"003107027A","state":"GA","issuer":null},{"type_code":"01","label":"Other","value":"3263210","state":null,"issuer":"AETNA"},{"type_code":"01","label":"Other","value":"2K3975","state":null,"issuer":"HEALTHNET"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110811000366","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"GA","pac_id":"6507053758"}]},"enumeration_date":"2005-07-08","last_updated":"2025-06-20","_meta":{"source":"NPPES","snapshot_date":"2025-06-20","doc_url":"https://findmynpi.com/api"}}