MR. SELMMAN RICARDO PADRIDIN (NPI# 1124420377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124420377 |
| Entity Type | Individual |
| Full Name | MR. SELMMAN RICARDO PADRIDIN |
| Practice Address |
411 E 9th St Box #12 Fort Stewart GA 31314-5036 |
| Mailing Address |
1283 Se 7th Ct Deerfield Beach FL 33441-5868 |
| Practice Telephone | 9124356081 |
| Mailing Telephone | 7542149122 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RM2200X |
Technician, Pathology Specialization: Medical Laboratory |
25468079 | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
411 E 9TH ST BOX #12 |
| City | FORT STEWART |
| State | GA |
| Zip Code | 31314-5036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528466042 | Michael Damien Skirkanich | Emergency Medical Technician, Basic | 411 E 9th St, Fort Stewart, GA 31314-5036 | 2014-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733995 | Heather Ziccarelli Deneen | Dietitian, Registered | 441 Bultman Ave, 1183, Fort Stewart, GA 31314 | 2020-02-28 |
| 1073099826 | Ross Emerick | Dentist | 351 West 6th Street, Fort Stewart, GA 31314 | 2018-07-16 |
| 1184154742 | Roland Garcia | Dentist | 351 W 6th St Bldg 440, Ft Stewart, GA 31314 | 2017-06-15 |
| 1548613045 | Sylvia Mclean | Dental Hygienist | 343 Vanguard Road, Fort Stewart, GA 31314 | 2016-07-20 |
| 1407209257 | David Wald Jr. | Dental Hygienist | 305 Vanguard Rd. Bldg 8335, Fort Stewar, GA 31314 | 2016-07-18 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| Find all providers in zip 31314 | ||||
| Taxonomy Code | 246RM2200X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Medical Laboratory |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093113870 | Arsnola Christina Watson | Technician, Pathology | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-12-10 |
| 1710385596 | Joesph Drumgold | Technician, Pathology | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497365340 | Heart of An Angel Nursing Solutions, LLC | Technician, Pathology | 4139 Baker St Ne Ste 16, Covington, GA 30014-1409 | 2020-08-05 |
| 1316590151 | Elizabeth Mccane | Technician, Pathology | 1546 Rocky Creek Rd Unit A, Macon, GA 31206-3581 | 2019-07-22 |
| 1700235736 | Chelsie Marie Lee | Technician, Pathology | 307 Sandy Run Rd, Bonaire, GA 31005-4703 | 2016-06-09 |
| 1134619653 | Andrew William Bernal | Technician, Pathology | 1700 Clairmont Rd, Decatur, GA 30033-4032 | 2018-05-10 |
| 1760626279 | Alphonsus Maduwuba Agbaere | Technician, Pathology | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2009-04-28 |
| City | FORT STEWART |
| Zip Code | 31314 |
Please comment or provide details below to improve the information on MR. SELMMAN RICARDO PADRIDIN.
| 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.