John J Padavano, DO

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

1071 Issued in ME

Practice address

55 Baxter Blvd
Portland, ME 04101-1801

Phone

(207) 773-7428

Fax

(207) 842-6229

NPI assigned

Mar 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: john.padavano.1@15149.direct.athenahealth.com

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1528035003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BAXTER BLVD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011801",
            "telephone_number": "207-773-7428",
            "fax_number": "207-842-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BAXTER BLVD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011801",
            "telephone_number": "207-773-7428",
            "fax_number": "207-842-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADAVANO",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ME",
            "license": "1071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• P&G Personal Care, LLC
• Crystal Michelle Pace, RD
• Janet Pachta-Galligan, MD
• Andrew B Packard, M.D.
• Louise Packness, MA, SLP
• Brittany Page, MSW, LCSW
• Caleb Tyler Page, PHARMD
• Hollie Paine-Dodge
• Adam Paine, M.D.
• Rosemary Elizabeth Paine, RN, FNP-BC

• Orthopaedic Surgery Physician in Portland, ME
• Providers in Portland, ME by specialty
• Orthopaedic Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.