Organization Active NPI

Padgett Medical Center, LLC

  • Pain Medicine Physician
  • Tampa, FL
National Provider Identifier
1457671554
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
PMC1620 Issued in FL
Legal business name
PADGETT MEDICAL CENTER, LLC
Practice address
6904 W Linebaugh Ave
Tampa, FL 33625-5800
Phone
(813) 888-7710
Fax
(813) 908-7711
NPI assigned
Jun 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Authorized official

Name
Shaun Padgett, LMT
Title
Owner
Phone
(813) 888-7710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0000X PMC1620 FL Primary

Addresses

Primary practice location

6904 W Linebaugh Ave
Tampa, FL 33625-5800

Mailing address

6904 W Linebaugh Ave
Tampa, FL 33625-5800
Phone (813) 888-7710

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2016881Padgett Medical Center LLC6904 W Linebaugh Ave, Tampa, FL 33625Certificate of waiverNov 28, 2026

National Provider Directory

National Provider Directory
Tax ID family
Padgett Medical Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1457671554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6904 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336255800",
            "telephone_number": "813-888-7710",
            "fax_number": "813-908-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6904 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336255800",
            "telephone_number": "813-888-7710",
            "fax_number": "813-908-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADGETT MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-11",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "PADGETT",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-888-7710",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "PMC1620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.