Active NPI
Paden-Life-Care LLC
- Physical Medicine & Rehabilitation Physician
- Waldorf, MD
National Provider Identifier
1225257561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- D0060744
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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 DirectoryLocations
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.