Richard J Paddock
UROLOGY ASSOCIATES OF LOUISIANA LLC


Address: 1111 Medical Ctr Blvd, Suite N311, Marrero, LA 70072-3185
Phone: 5043496507

Richard J Paddock (NPI# 1679565428, PAC ID# 0941331862) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.

Physician Overview

Nation Provider ID (NPI) 1679565428
PAC ID by PECOS 0941331862
Professional Enrollment ID I20100621000880
Full Name Richard J Paddock
Organization Legal Name UROLOGY ASSOCIATES OF LOUISIANA LLC
Address 1111 Medical Ctr Blvd
Suite N311
Marrero
LA 70072-3185
Phone Number 5043496507
Gender M
Medical School TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1979
Primary Specialty UROLOGY
Group Practice PAC ID 7517907231
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
190039 WEST JEFFERSON MEDICAL CENTER

Other Locations

Address Phone Organization
1111 Medical Ctr Blvd, Suite N311, Marrero, LA 70072-3185 5043496507 UROLOGY ASSOCIATES OF LOUISIANA LLC

Organization Information

Organization Legal Name UROLOGY ASSOCIATES OF LOUISIANA LLC
Physicians 1

Office Location

Street Address 1111 MEDICAL CTR BLVD
SUITE N311
City MARRERO
State LA
Zip 70072-3185

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Competitor

Search similar physicians

City MARRERO
Zip Code 70072
Specialty UROLOGY
City + Specialty MARRERO + UROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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