Active NPI
Philip Paden Eye Care Center M D
- Ophthalmology Physician
- Medford, OR
National Provider Identifier
1972506087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 13653
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
National Provider Directory
National Provider DirectoryNPI 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.