Active NPI
Rachel Padawer, SA-C, CSFA
- Surgical Assistant
- Winter Park, FL
National Provider Identifier
1417355884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 161310
- Practice address
- 1551 Clay St
Winter Park, FL 32789-5499 - Phone
- (407) 644-5371
- Fax
- (407) 644-1417
- NPI assigned
- Dec 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 14-572 | FL | |
| Surgical Physician Assistant | 363AS0400X | |||
| Surgical Assistant | 246ZC0007X | 161310 | FL | Primary |
Addresses
Primary practice location
1551 Clay St
Winter Park, FL 32789-5499
Mailing address
PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033
Other practice location 1
236 Springside Rd
Longwood, FL 32779-4985
Phone (321) 318-8132
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-572 | FL | MD | Surgical Assistant |
| 161310 | FL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1417355884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748817",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748817",
"telephone_number": "813-286-0033",
"fax_number": "813-282-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 CLAY ST",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327895499",
"telephone_number": "407-644-5371",
"fax_number": "407-644-1417"
}
],
"practiceLocations": [
{
"address_1": "236 Springside Rd",
"address_purpose": "LOCATION",
"city": "Longwood",
"state": "FL",
"postal_code": "327794985",
"country_code": "US",
"telephone_number": "321-318-8132",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PADAWER",
"first_name": "RACHEL",
"credential": "SA-C, CSFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-16",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "14-572",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "161310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.