NATHAN J PADDOCK PA NPI 1679526503

NPI Information

NPI: 1679526503
Provider Name: NATHAN J PADDOCK, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1555 LONG POND RD
EMERGENCY CENTER
ROCHESTER, NY
ZIP 14626
Phone: (585) 723-7005
Get Directions

Nathan J Paddock, PA is a medical physician assistant in Rochester, NY. Nathan J Paddock, PA NPI is 1679526503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1555 LONG POND RD
EMERGENCY CENTER
ROCHESTER, NY
ZIP 14626-122
Phone: (585) 723-7005
Fax: (585) 368-4945

The NPI 1679526503 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	009357	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PA1238	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	70008A GROUP
2	PA1241	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	BA0017 GROUP
3	P94507	MEDICARE UPIN	NEW YORK
4	177741AZ	OTHER	NEW YORK	PREFERRED CARE
5	02564327	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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