PEDRO C PADILLA (NPI# 1083608509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083608509 |
| Entity Type | Individual |
| Full Name | PEDRO C PADILLA |
| Credential | MD PC |
| Practice Address |
20 Manor Dr Troy MO 63379-0267 |
| Mailing Address |
20 Manor Dr Po Box 267 Troy MO 63379-2044 |
| Practice Telephone | 6365286844 |
| Practice Fax Number | 6364622809 |
| Mailing Telephone | 6365286844 |
| Mailing Fax Number | 6364622809 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2011-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 35762 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NHC BENEFIT | 0000317 | 01 | |
| MULTI-PLAN | 12076745 | 01 | |
| CARPENTERS | 25125 | 01 | |
| BLUE SHIELD KC | 4906THFR | 01 | |
| COMMERCIAL | 412131784 | 01 | |
| MO | 201214509 | 05 | |
| BLUE CHOICE | BLC0071180001 | 01 | |
| BLUE CHOICE | BLC007118002 | 01 | |
| GROUP HEALTH PLAN | 12731 | 01 | |
| AETNA | 4397518 | 01 | |
| MERCY | A90852 | 01 | |
| HEALTHLINK | 101073 | 01 | |
| BLUE SHIELD | 7896 | 01 | |
| ESSENCE | 11548 | 01 | |
| RAILROAD | 826343353A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073034302 | Pedro Padilla | Behavior Technician | 7632 Nw 181 Terrace, Miami, FL 33015 | 2017-06-27 |
| Street Address |
20 MANOR DR |
| City | TROY |
| State | MO |
| Zip Code | 63379-0267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669500856 | Pedro C Padilla M.d.p.c. | Specialist | 20 Manor Dr, Troy, MO 63379-0267 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746601 | Cathleen Burks | Counselor | 384 Rockport Dr, Troy, MO 63379 | 2020-10-08 |
| 1851818058 | Sarah Tippit | Occupational Therapist | 39 Cattail Pl, Troy, MO 63379 | 2017-08-28 |
| 1104360239 | Lori Seulean LLC | Counselor | 410 Sydna Ct, Troy, MO 63379 | 2016-12-08 |
| 1659827210 | Elisabeth Marie Nation | Physical Therapist | 722 N Hwy 47 Suite A, Warrenton, MO 63379 | 2016-09-01 |
| 1598054587 | Janice Ann Mills | Counselor | 1385 Creech School Road, Troy, MO 63379 | 2011-03-31 |
| 1437450871 | All Family Chiropractic LLC | Chiropractor | 9 Plaza, Troy, MO 63379 | 2010-11-16 |
| 1063713246 | Troy Family Dentistry, LLC | Dentist | 128 Professional Parkway, Troy, MO 63379 | 2010-11-04 |
| 1437478476 | Jennifer G Ray | Pediatrics | 164 Professional Pkwy, Troy, MO 63379 | 2010-05-28 |
| 1184868523 | Troy Residential, LLC | Assisted Living Facility | 159 Professional Parkway, Troy, MO 63379 | 2009-04-29 |
| 1639356793 | Susan Kaye Galloway | Counselor | 104 Mound, Troy, MO 63379 | 2008-01-30 |
| Find all providers in zip 63379 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003179730 | Kalen Jacob Rimar | Urology | 130 Town Center Dr Ste 101, Troy, MI 48084 | 2012-06-18 |
| 1639331622 | Robert Michael Kohut Jr. | Urology | 3130 N County Road 25a Ste 205, Troy, OH 45373-1337 | 2008-06-30 |
| 1093908568 | Tarek Pacha | Urology | 4137 Coolidge Hwy, Troy, MI 48098-4316 | 2007-08-19 |
| 1033223318 | Craig Alan Nicholson | Urology | 600 W Main St Ste 330, Troy, OH 45373-2928 | 2006-08-17 |
| 1932165628 | Anthony P Benjamin | Urology | 2231 Burdett Ave Ste 230, Troy, NY 12180 | 2006-04-22 |
| 1588642383 | Oscar Foz Almonte | Urology | 267 Hoosick Street, Troy, NY 12180 | 2006-01-03 |
| 1386064939 | Jason Michael Sandberg | Urology | 130 Town Center Dr Ste 101, Troy, MI 48084-1744 | 2014-04-22 |
| 1528322799 | Randolph Specialty Group Practice | Urology | 522 Allen St, Suite 202, Troy, NC 27371-2861 | 2012-07-02 |
| 1962674499 | Michigan Institute of Urology PC | Urology | 130 Town Center Dr, Suite 200, Troy, MI 48084-1744 | 2008-03-25 |
| 1295817799 | Michigan Institute of Urology PC | Urology | 130 Town Center Drive, Suite 101, Troy, MI 48084-1773 | 2006-10-20 |
| Find all providers in TROY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.