Pedro C Padilla M.D.P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

35762 Issued in MO

Legal business name

PEDRO C PADILLA M.D.P.C.

Practice address

20 Manor Dr
Troy, MO 63379-0267

Phone

(636) 528-6844

Fax

(636) 462-2809

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Pedro C Padilla, M.D.

Title

President

Phone

(636) 528-6844

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1669500856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633790267",
            "telephone_number": "636-528-6844",
            "fax_number": "636-462-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MANOR DR",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633790267",
            "telephone_number": "636-528-6844",
            "fax_number": "636-462-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO C PADILLA M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-528-6844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "35762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201214509",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "826343353A",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Troy, MO
• Providers in Troy, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.