Active NPI
Matthew Padgett, PA-C
- Medical Physician Assistant
- Henderson, NV
National Provider Identifier
1376967091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA1519
- Practice address
- 2847 Saint Rose Pkwy
150
Henderson, NV 89052-4843 - Phone
- (702) 248-7337
- Fax
- (702) 478-5465
- NPI assigned
- Feb 17, 2014
- Last updated
- Feb 17, 2014
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA1519 | NV | Primary |
Addresses
Primary practice location
2847 Saint Rose Pkwy
150
Henderson, NV 89052-4843
Mailing address
2847 Saint Rose Pkwy
150
Henderson, NV 89052-4843
Phone (702) 248-7337
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)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1519 | NV | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wijesinghe Pediatrics PC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392595200000",
"number": "1376967091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2847 SAINT ROSE PKWY",
"address_2": "150",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524843",
"telephone_number": "702-248-7337",
"fax_number": "702-478-5465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2847 SAINT ROSE PKWY",
"address_2": "150",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524843",
"telephone_number": "702-248-7337",
"fax_number": "702-478-5465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADGETT",
"first_name": "MATTHEW",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-17",
"last_updated": "2014-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NV",
"license": "PA1519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.