Individual provider Active NPI

Nathanael Ward Cardon, DO

  • Psychiatry Physician
  • Anacortes, WA
National Provider Identifier
1861606360
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OP60248624 Issued in WA
Practice address
601 O Ave
Anacortes, WA 98221-1753
Phone
(360) 755-3474
Fax
(877) 241-4344
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OP60248624 WA Primary

Addresses

Primary practice location

601 O Ave
Anacortes, WA 98221-1753

Mailing address

PO Box 1318
Anacortes, WA 98221-6318
Phone (360) 755-3474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120124000800 WA Practitioner - Psychiatry 7810164399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Western University of Health Sciences College of Dental Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardon and AssociatesGroup PAC ID 5193151033, 4 clinicians

Practice addresses (Care Compare)

601 O Ave
Anacortes, WA 98221-1753
Phone (360) 755-3474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Cardon and Associates CurrentSince Jul 19, 2017 Accepting new patients

Locations

601 O Ave
Anacortes, WA 98221
Phone (360) 293-2808

601 O Ave
Ste B
Anacortes, WA 98221
Phone (360) 755-3474

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1861606360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1318",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982216318",
            "telephone_number": "360-755-3474",
            "fax_number": "877-241-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 O AVE",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982211753",
            "telephone_number": "360-755-3474",
            "fax_number": "877-241-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDON",
        "first_name": "NATHANAEL",
        "middle_name": "WARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "OP60248624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

Verify at the official NPI Registry.