Thomas James Weber Scarey, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA164485 Issued in OR

Practice address

891 23Rd St NE
Salem, OR 97301-1793

Phone

(845) 430-3899

NPI assigned

Feb 21, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Childhood Health Associates of Salem

  • Pediatrics Physician
  • Salem, OR
  • NPI 1467677864
  NPD (past)

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1568735611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 23RD ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011793",
            "telephone_number": "845-430-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 23RD ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011793",
            "telephone_number": "845-430-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAREY",
        "first_name": "THOMAS",
        "middle_name": "JAMES WEBER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-21",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA164485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500664156",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Irene Sayre, AU.D.
• Cheyenne Sayre
• Lewis Sayre, M.D.
• Siri Scales
• Kathleen Scanlan, M.D.
• Daniel Scarl
• Michael Schaap, RPH
• Andrea Schacher
• Lindsey Anne Schacher, LMT
• Claire Schafer, MD

• Physician Assistant in Salem, OR
• Providers in Salem, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.