Organization Active NPI

Paden-Life-Care LLC

  • Physical Medicine & Rehabilitation Physician
  • Waldorf, MD
National Provider Identifier
1225257561
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
D0060744 Issued in MD
Legal business name
PADEN-LIFE-CARE LLC
Practice address
2300 Oxford Shire CT
Waldorf, MD 20603-3215
Phone
(301) 843-1279
Fax
(301) 638-5512
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vabian Lewitt Paden, MD
Title
Member Manager
Phone
(240) 682-5440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X D0060744 MD Primary

Addresses

Primary practice location

2300 Oxford Shire CT
Waldorf, MD 20603-3215

Mailing address

2300 Oxford Shire CT
Waldorf, MD 20603-3215
Phone (301) 843-1279

National Provider Directory

National Provider Directory

Locations

10 Saint Patricks Dr
#404
Waldorf, MD 20603
Phone (301) 885-1116

10 Saint Patricks Dr
Ste 404
Waldorf, MD 20603
Phone (301) 638-2733

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225257561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 OXFORD SHIRE CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206033215",
            "telephone_number": "301-843-1279",
            "fax_number": "301-638-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 OXFORD SHIRE CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206033215",
            "telephone_number": "301-843-1279",
            "fax_number": "301-638-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADEN-LIFE-CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PADEN",
        "authorized_official_first_name": "VABIAN",
        "authorized_official_middle_name": "LEWITT",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "240-682-5440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D0060744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.