1427066562 NPI number — MICHAEL S PADIAL MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427066562 NPI number — MICHAEL S PADIAL MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

PADIAL

Provider First Name:

MICHAEL

Provider Middle Name:

S

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1427066562

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

05/19/2008

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

DAVIS AVE AT E POST RD

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

WHITE PLAINS

Provider Business Mailing Address State Name:

NY

Provider Business Mailing Address Postal Code:

10601-4615

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

41 DAVIS AVE

Provider Second Line Business Practice Location Address:

WPH-HOSPITALIST DEPT

Provider Business Practice Location Address City Name:

WHITE PLAINS

Provider Business Practice Location Address State Name:

NY

Provider Business Practice Location Address Postal Code:

10605-1034

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

914-681-0600

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:

08/04/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207R00000X , with the licence number:  191639 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 1078154 . This is a "AETNA - HMO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 4592592 . This is a "AETNA - PPO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: P3632178 . This is a "OXFORD HEALTH PLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: TIN . This is a "HORIZON HEALTHCARE" identifier . This identifiers is of the category "OTHER".
• Identifier: 4C8175 . This is a "HEALTH NET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: TIN . This is a "MULTIPLAN" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
• Identifier: 26J843 . This is a "EMPIRE BC/BS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: TIN . This is a "HORIZION HEALTHCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: TIN . This is a "MULTIPLAN" identifier . This identifiers is of the category "OTHER".
• Identifier: 1838120 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 7674728 . This is a "CIGNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: PENDING 1ST CLAIM . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".