Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003899089 Individual Practitioner Male Practitioner

Dr. Stephen Mark Scallon , MD

Pediatrics • Stillwater, MN

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Scallon, MD is a registered healthcare professional specializing in Pediatrics in Stillwater, MN. Practice services are available at 1500 CURVE CREST BLVD W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 Curve Crest Blvd W

Stillwater, MN 550826040

Telephone 6514391234
Fax 6514391547
Associated Practice Facility / Clinic
🏢 Stillwater Medical Group Facility NPI 1558350488

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Stillwater, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
11 Specialists

Practicing in Stillwater, MN (1325 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MN 29155

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License WI 24613

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
179773500 (MN)
Medicaid State Provider ID
30626700 (WI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Anika Phillips , RN, CNM

Advanced Practice Midwife

NPI 1003132440

Registered Nurse, Certified Nurse Midwife

Alison Gardner , PA-C

Physician Assistant

NPI 1003215542

Physician Assistant (Certified)

Katelyn Stahnke , ATC

Specialist/Technologist - Athletic Trainer

NPI 1003261900

Certified Athletic Trainer

Dr. Eric Meinberg , MD

Orthopaedic Surgery - Orthopaedic Trauma

NPI 1023060993

Doctor of Medicine (M.D.)

Dr. Julie Becker , MD

Obstetrics & Gynecology

NPI 1023077625

Doctor of Medicine (M.D.)

Dr. Evan Olson , DPT

Physical Therapist

NPI 1033419239

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address July 08, 2019

Registered at 8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 554254516 (Tel: 6514391234)

NPI Profile Active February 14, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location February 14, 2011

Registered at 1500 CURVE CREST BLVD W, STILLWATER, MN 550826040 (Tel: 6514391234)

📍
Updated Business Mailing Address February 14, 2011

Registered at 1500 CURVE CREST BLVD W, STILLWATER, MN 550826040 (Tel: 6514391234)

👤
Provider Name / Credentials Updated February 14, 2011

Recorded as STEPHEN SCALLON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2011

Pediatrics (License #29155 in MN)

🟢
Initial NPI Registration & Enumeration November 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003899089
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 23, 2005
Last Update: July 08, 2019
Sole Proprietor: No

Mailing Address

8170 33rd Ave S # Ms 21110q

Minneapolis, MN 554254516

Phone: 6514391234

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.