Organization Active NPI

Muni V. Padman, M.D., P.a.

  • Preferred Provider Organization
  • Leesburg, FL
National Provider Identifier
1417348699
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
ME39071 Issued in FL
Legal business name
MUNI V. PADMAN, M.D., P.A.
Practice address
601 E Dixie Ave
Plaza 101
Leesburg, FL 34748-5953
Phone
(352) 326-8081
Fax
(352) 326-5084
NPI assigned
Feb 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Dr. Muni V Padman, M.D., P.A.
Title
Dr / Owner
Phone
(352) 326-8081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X ME39071 FL Primary

Addresses

Primary practice location

601 E Dixie Ave
Plaza 101
Leesburg, FL 34748-5953

Mailing address

601 E Dixie Ave
Plaza 101
Leesburg, FL 34748-5953
Phone (352) 326-8081

Other identifiers 1

IdentifierTypeStateIssuer
06790200MedicaidFL

National Provider Directory

National Provider Directory

Locations

1950 Laurel Manor Dr
Ste 206
The Villages, FL 32162
Phone (352) 205-8812

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1417348699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E DIXIE AVE",
            "address_2": "PLAZA 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485953",
            "telephone_number": "352-326-8081",
            "fax_number": "352-326-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E DIXIE AVE",
            "address_2": "PLAZA 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485953",
            "telephone_number": "352-326-8081",
            "fax_number": "352-326-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNI V. PADMAN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "PADMAN",
        "authorized_official_first_name": "MUNI",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DR / OWNER",
        "authorized_official_telephone_number": "352-326-8081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "ME39071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06790200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.