Antonio C Padilla Cedo (NPI# 1023342409, PAC ID# 2961535539) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1023342409 |
| PAC ID by PECOS | 2961535539 |
| Professional Enrollment ID | I20160104002061 |
| Full Name | Antonio C Padilla Cedo |
| Organization Legal Name | WAGNER INDIAN HEALTH SERVICE HEALTH CENTER |
| Address |
111 Washington Ave Nw Wagner SD 57380-4300 |
| Phone Number | 6053843621 |
| Gender | M |
| Medical School | UNIVERSIDAD CENTRAL DEL CARIBE ESCUELA DE MEDICINA |
| Graduation Year | 1998 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 6305758483 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 431315 | WAGNER COMMUNITY MEMORIAL HOSPITAL - CAH |
| Address | Phone | Organization |
|---|---|---|
| 111 Washington Ave Nw, Wagner, SD 57380-4300 | 6053843621 | WAGNER INDIAN HEALTH SERVICE HEALTH CENTER |
| Organization Legal Name | WAGNER INDIAN HEALTH SERVICE HEALTH CENTER |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blandine B Pierre | General Practice | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
| Jaime Aguilar | Physician Assistant | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
| Pedro H Ibarra Perocier | General Practice | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
| Julie K Williams | Optometry | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
| Grisel Rodriguez Diaz | General Practice | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
| Irwin W Fish | Physician Assistant | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
| Gretchen M Esplund | Family Practice | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
| Rishi Patel | General Practice | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
| Michelle L Powers | Physician Assistant | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
| Melody J Otte | Nurse Practitioner | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
| Street Address |
111 WASHINGTON AVE NW |
| City | WAGNER |
| State | SD |
| Zip | 57380-4300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blandine B Pierre | General Practice | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
| Jaime Aguilar | Physician Assistant | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
| Pedro H Ibarra Perocier | General Practice | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
| Julie K Williams | Optometry | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
| Grisel Rodriguez Diaz | General Practice | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
| Irwin W Fish | Physician Assistant | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
| Gretchen M Esplund | Family Practice | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
| Rishi Patel | General Practice | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
| Michelle L Powers | Physician Assistant | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
| Melody J Otte | Nurse Practitioner | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerika Kirwan | Optometry | Vision Care Associates, LLP | 720 W Hwy 46, Wagner, SD 57380-9373 |
| Lindsey Rae Nedved | Nurse Practitioner | Wagner Community Memorial Hospital | 513 3rd St Sw, Wagner, SD 57380-9675 |
| Carol Lee Stewart | Nurse Practitioner | Wagner Community Memorial Hospital | 513 Sw 3rd St, Wagner, SD 57380-9675 |
| Gary A Bubak | Internal Medicine | 517 3rd St Sw, Wagner, SD 57380-9675 | |
| Jessica M Vanderham | Nurse Practitioner | Wagner Community Memorial Hospital | 513 3rd St Sw, Wagner, SD 57380-9675 |
| Ryan Kocer | Nurse Practitioner | Wagner Community Memorial Hospital | 513 3rd St Sw, Wagner, SD 57380-9675 |
| Jeffrey D Pinter | Family Medicine | Wagner Community Memorial Hospital | 513 3rd St Sw, Wagner, SD 57380-9675 |
| Jordan Carl Weber | Physician Assistant | Wagner Community Memorial Hospital | 513 3rd St Sw, Wagner, SD 57380-9675 |
| Mikaela J Koenig | Family Medicine | Wagner Community Memorial Hospital | 513 3rd St Sw, Wagner, SD 57380-9675 |
| Theresa A Petersen | Nurse Practitioner | Wagner Community Memorial Hospital | 513 3rd St Sw, Wagner, SD 57380-9675 |
| Find all physicians in zip 57380 | |||
| City | WAGNER |
| Zip Code | 57380 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | WAGNER + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Antonio C Padilla Cedo.
| 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.