Organization Active NPI

Philip Paden Eye Care Center M D

  • Ophthalmology Physician
  • Medford, OR
National Provider Identifier
1972506087
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
13653 Issued in OR
Legal business name
PHILIP PADEN EYE CARE CENTER M D
Doing business as
Paden Eye Care Center, PC
Practice address
221 Stewart Ave
Suite 110
Medford, OR 97501
Phone
(541) 776-9026
Fax
(541) 776-9096
NPI assigned
May 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Philip Y Paden, M.D.
Title
Owner/Physician
Phone
(541) 776-9026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 13653 OR Primary

Addresses

Primary practice location

221 Stewart Ave
Suite 110
Medford, OR 97501

Mailing address

221 Stewart Ave
Suite 110
Medford, OR 97501
Phone (541) 776-9026

Other names 1

  • Paden Eye Care Center, PC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1972506087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 STEWART AVE",
            "address_2": "SUITE 110",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97501",
            "telephone_number": "541-776-9026",
            "fax_number": "541-776-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 STEWART AVE",
            "address_2": "SUITE 110",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97501",
            "telephone_number": "541-776-9026",
            "fax_number": "541-776-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP PADEN EYE CARE CENTER M D",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "PADEN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "541-776-9026",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "13653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paden Eye Care Center, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.