Physician Compare National (NPI:1205027349)

HEALTHCARE PROVIDER: MARIDELI COLON SCANLAN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1205027349
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8325113103
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080813000251
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SCANLAN
	Individual professional last name
Provider First Name	MARIDELI
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	ENDOCRINOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1111 MEDICAL CTR BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE N713
	Group Practice or individual's line 2 address
City	MARRERO
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	700723151
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	190039
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WEST JEFFERSON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	190036
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	OCHSNER MEDICAL CENTER NEW ORLEANS
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	190146
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	EAST JEFFERSON GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y