Active NPI
Mary Teresa Padilla, M.D.
- Clinical Pathology/Laboratory Medicine Physician
- Richmond, VA
National Provider Identifier
1205059359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- 0101241543
- Practice address
- 9105 Stony Point Pkwy
Richmond, VA 23235-1979 - Phone
- (804) 287-1030
- Fax
- (804) 288-3529
- NPI assigned
- Apr 10, 2007
- Last updated
- Mar 21, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 0101241543 | VA | Primary |
Addresses
Primary practice location
9105 Stony Point Pkwy
Richmond, VA 23235-1979
Mailing address
9105 Stony Point Pkwy
Richmond, VA 23235-1979
Phone (804) 287-1030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205059359 | Medicaid | VA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Urology Center-Hopewell | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Hopewell, VA
- NPI 1447376710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206057600000",
"number": "1205059359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9105 STONY POINT PKWY",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232351979",
"telephone_number": "804-287-1030",
"fax_number": "804-288-3529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9105 STONY POINT PKWY",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232351979",
"telephone_number": "804-287-1030",
"fax_number": "804-288-3529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "MARY",
"middle_name": "TERESA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2008-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "VA",
"license": "0101241543",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205059359",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.