Nathan Wayne Scadlock, DNP, ARNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

201900807NP-PP Issued in OR

Practice address

1650 Chambers St
Eugene, OR 97402-3636

Phone

(541) 686-1711

Fax

(541) 686-6018

NPI assigned

Jul 23, 2013

Last updated

Jun 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nscadlock42150@direct.optum.com
• Direct secure messaging: nscadlock42153@westdirect.optum.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oregon Healthcare Resources, LLC

  dba Oregon Medical Group

  • Multi-Specialty Clinic/Center
  • Eugene, OR
  • NPI 1982907572
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1235571936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1648",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974401648",
            "telephone_number": "541-687-4900",
            "fax_number": "541-463-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 CHAMBERS ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023636",
            "telephone_number": "541-686-1711",
            "fax_number": "541-686-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCADLOCK",
        "first_name": "NATHAN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DNP, ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-23",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OR",
            "license": "201900807NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500760659",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karl A Saxman, MD
• Kenneth Saxon, CADC1
• Say Ah Feeding Therapy
• Say Ah Feeding Therapy LLC
• Arreanna Saylor
• Kamillah Scales, LPC, NCC
• Julie Scalisi, R.D.
• Raymond Scott Scampini, LCSW
• Conor Scanlon, DMD
• Scarborough Medical Care LLC

• Primary Care Nurse Practitioner in Eugene, OR
• Providers in Eugene, OR by specialty
• Primary Care Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.

Verify at the official NPI Registry.