Provider Demographics
NPI:1962719153
Name:F A PADIN MD LTD
Entity type:Organization
Organization Name:F A PADIN MD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:BRINKER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:814-437-6374
Mailing Address - Street 1:150 PROSPECT AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-2542
Mailing Address - Country:US
Mailing Address - Phone:814-437-6212
Mailing Address - Fax:814-432-7604
Practice Address - Street 1:150 PROSPECT AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-2542
Practice Address - Country:US
Practice Address - Phone:814-437-6212
Practice Address - Fax:814-432-7604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-09
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD030554L208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA019516OtherMEDICARE PTAN
PA205281OtherUPMC HEALTH INS
PA0006680000001Medicaid
PA205281OtherUPMC HEALTH INS