DR. NATHAN WAYNE SCADLOCK (NPI# 1235571936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235571936 |
| Entity Type | Individual |
| Full Name | DR. NATHAN WAYNE SCADLOCK |
| Credential | DNP, ARNP |
| Practice Address |
1650 Chambers St Eugene OR 97402-3636 |
| Mailing Address |
Po Box 1648 Eugene OR 97440-1648 |
| Practice Telephone | 5416861711 |
| Practice Fax Number | 5416866018 |
| Mailing Telephone | 5416874900 |
| Mailing Fax Number | 5414632820 |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
201900807NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500760659 | 05 |
| Street Address |
1650 CHAMBERS ST |
| City | EUGENE |
| State | OR |
| Zip Code | 97402-3636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174501001 | Karl A Saxman | Internal Medicine | 1650 Chambers St, Eugene, OR 97402-3636 | 2005-12-30 |
| 1225645898 | Dominick Amandus Post | Physical Therapist | 1650 Chambers St, Eugene, OR 97402-3636 | 2020-09-28 |
| 1225660764 | Rachel Burch | Physical Therapist | 1650 Chambers St, Eugene, OR 97402-3636 | 2020-02-12 |
| 1558718262 | Soojung Samantha Lee | Family Medicine | 1650 Chambers St, Eugene, OR 97402-3636 | 2016-05-23 |
| 1023317526 | Oregon Healthcare Resources LLC | Durable Medical Equipment & Medical Supplies | 1650 Chambers St, Eugene, OR 97402-3636 | 2011-03-23 |
| 1578748380 | Willamette Community Medical Group LLC | Durable Medical Equipment & Medical Supplies | 1650 Chambers St, Eugene, OR 97402-3636 | 2007-12-31 |
| 1497835441 | Mary Christine Mckee | Pediatrics | 1650 Chambers St, Eugene, OR 97402-3636 | 2006-10-16 |
| 1598873861 | Martin L Jones Jr. | Internal Medicine | 1650 Chambers St, Eugene, OR 97402-3636 | 2006-08-28 |
| 1821067489 | Serena L Luce | Physician Assistant | 1650 Chambers St, Eugene, OR 97402-3636 | 2006-03-16 |
| 1184694812 | Sharon H Flynn | Internal Medicine | 1650 Chambers St, Eugene, OR 97402-3636 | 2006-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1104462134 | Cerridwen Laurel Martin | Massage Therapist | 775 Monroe St., Eugene, OR 97402 | 2019-11-25 |
| 1720556368 | Valerie Jeanne Charles | Massage Therapist | 989 Throne Dr., Eugene, OR 97402 | 2018-11-12 |
| 1407324189 | Laura Angulo | Massage Therapist | 1247 W 8th Ave Apt 10, Eugene, OR 97402 | 2018-11-11 |
| 1932687472 | Karl Alan Porter | Counselor | 1195 City View St Ste B, Eugene, OR 97402 | 2018-08-06 |
| 1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
| 1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
| 1447740527 | Shasta Tobi Cooke | Behavioral Analyst | 677 1/2 W 12th Ave, Eugene, OR 97402 | 2018-05-15 |
| 1497205306 | Jenna Bracco | Social Worker | 1274 W. 7th Avenue Suite 201, Eugene, OR 97402 | 2016-10-04 |
| 1871041392 | Jeremy Powers | Massage Therapist | 882 Van Buren St, Eugene, OR 97402 | 2016-09-13 |
| Find all providers in zip 97402 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700283199 | Ydb, Inc | Nurse Practitioner | 171 Lawrence St, Eugene, OR 97401-2221 | 2014-12-01 |
| 1154456002 | Choices for Health PC | Nurse Practitioner | 390 W 12th Ave, Eugene, OR 97401-3301 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956233 | Ellen Faye Barlow | Nurse Practitioner | 506 Fourth St., La Grande, OR 97850 | 2020-03-09 |
| 1225698889 | Agewell Geriatrics, LLC | Nurse Practitioner | 13120 Sw Heather Ct, Beaverton, OR 97008-5612 | 2019-06-17 |
| 1760960462 | Sid Christian Keomanivong | Nurse Practitioner | 2677 Beall Ln, Central Point, OR 97502-1462 | 2018-08-03 |
| 1245611771 | Karen Musick | Nurse Practitioner | 3514 Nw Mckinley Dr, Corvallis, OR 97330-1148 | 2015-06-10 |
| 1184054546 | Nancy M Burgess Rn Msn Anp-c PC | Nurse Practitioner | 910 Sw Highway 97 Ste 104, Madras, OR 97741-9247 | 2013-11-22 |
| 1518391804 | Sally Elizabeth Kraynik | Nurse Practitioner | 1895 E Main St, Hillsboro, OR 97123-4345 | 2013-08-22 |
| 1295998920 | Paula Jo Cramer | Nurse Practitioner | 790 S Main St Myrtle, Creek, Ore, Myrtle Creek, OR 97457 | 2008-07-02 |
| 1780855601 | Leslie West | Nurse Practitioner | 51730 Dexter St., Blue River, OR 97413-0183 | 2008-03-19 |
| 1548399322 | Corporate Health Nw | Nurse Practitioner | 10209 Se Division St, Portland, OR 97266-1327 | 2007-03-05 |
| 1962540310 | Laura Ann Shattuck | Nurse Practitioner | 21440 S Upper Highland Rd, Beavercreek, OR 97004-8814 | 2007-02-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.