Active NPI
Jose Abran Padilla, M.D.
- Orthopaedic Surgery Physician
- Altoona, WI
National Provider Identifier
1184660342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 48435
- Practice address
- 1200 Oakleaf Way
Suite a
Altoona, WI 54720-2245 - Phone
- (715) 832-1400
- Fax
- (715) 832-4187
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 48435 | WI | Primary |
Addresses
Primary practice location
1200 Oakleaf Way
Suite a
Altoona, WI 54720-2245
Mailing address
1200 Oakleaf Way
Suite a
Altoona, WI 54720-2245
Phone (715) 832-1400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107813 | Other | WI | SECURITY HEALTH PLAN |
| 09 02319 | Other | WI | MEDICA/SELECTCARE EC |
| 34823300 | Medicaid | WI | |
| 09 02322 | Other | WI | MEDICA/SELECTCARE CF |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | japadilla@cvosm.gwaydirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1184660342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 OAKLEAF WAY",
"address_2": "SUITE A",
"city": "ALTOONA",
"state": "WI",
"postal_code": "547202245",
"telephone_number": "715-832-1400",
"fax_number": "715-832-4187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 OAKLEAF WAY",
"address_2": "SUITE A",
"city": "ALTOONA",
"state": "WI",
"postal_code": "547202245",
"telephone_number": "715-832-1400",
"fax_number": "715-832-4187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "JOSE",
"middle_name": "ABRAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "48435",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECURITY HEALTH PLAN",
"identifier": "107813",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA/SELECTCARE EC",
"identifier": "09 02319",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34823300",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA/SELECTCARE CF",
"identifier": "09 02322",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "japadilla@cvosm.gwaydirect.com",
"affiliation": "N",
"address_1": "1200 OakLeaf Way",
"address_2": "Suite A",
"city": "Altoona",
"state": "WI",
"country_code": "US",
"postal_code": "547202245",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Altoona, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.