Individual provider Active NPI

Michael David Lado, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Orwigsburg, PA
National Provider Identifier
1649408162
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
MD065648L Issued in PA
Practice address
1828 Ridgewood Rd
Orwigsburg, PA 17961-9525
Phone
(570) 573-3001
Fax
(570) 366-2304
NPI assigned
Jun 23, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X MD065648L PA Primary

Addresses

Primary practice location

1828 Ridgewood Rd
Orwigsburg, PA 17961-9525

Mailing address

1828 Ridgewood Rd
Orwigsburg, PA 17961-9525
Phone (570) 573-3001

Other identifiers 1

IdentifierTypeStateIssuer
01674182MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1649408162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 RIDGEWOOD RD",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179619525",
            "telephone_number": "570-573-3001",
            "fax_number": "570-366-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 RIDGEWOOD RD",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179619525",
            "telephone_number": "570-573-3001",
            "fax_number": "570-366-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADO",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MD065648L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01674182",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orwigsburg, PA

Sources for this page

Verify at the official NPI Registry.