Individual provider Active NPI

Matthew Padgett, PA-C

  • Medical Physician Assistant
  • Henderson, NV
National Provider Identifier
1376967091
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1519 Issued in NV
Practice address
2847 Saint Rose Pkwy
150
Henderson, NV 89052-4843
Phone
(702) 248-7337
Fax
(702) 478-5465
NPI assigned
Feb 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PA1519NVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.