DR. DAMARIS PADILLA (NPI# 1346204443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346204443 |
| Entity Type | Individual |
| Full Name | DR. DAMARIS PADILLA |
| Credential | M.D. |
| Practice Address |
2864 Woodruff St Fort Bragg NC 28310-0001 |
| Mailing Address |
2817 Reilly St Fort Bragg NC 28310-7324 |
| Practice Telephone | 9109647655 |
| Mailing Telephone | 9109647655 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2017-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 195274 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891013413 | Damaris Padilla | Pharmacy Technician | 16 Ramon Emeterio Betances Norte, Mayaguez, PR 00680 | 2010-05-06 |
| Street Address |
2864 WOODRUFF ST |
| City | FORT BRAGG |
| State | NC |
| Zip Code | 28310-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518156181 | Nick Minh Ly | Emergency Medicine | 2864 Woodruff St, Fort Bragg, NC 28320 | 2007-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013550763 | Brent Francis Bachman | Physician Assistant | 2817 Reilly Street, Fort Bragg, NC 28310 | 2019-10-25 |
| 1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
| 1851959951 | Daniel Jordan Whitaker | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 | 2019-06-03 |
| 1679054217 | Christopher Cetnar | Dentist | Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 | 2018-08-22 |
| 1316427107 | Alexandrea Lee Clark | Dentist | Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 | 2018-08-21 |
| 1457843831 | Kevin Patrick Hudson | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2018-06-01 |
| 1639691462 | Margaret S Greene | Dentist | Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 | 2017-07-13 |
| 1912432246 | Chezdan Baker | Student in an Organized Health Care Education/Training Program | Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 | 2017-04-24 |
| 1215483094 | Shantryce Monique Boatwright Crump | Dental Hygienist | 2617 Rielly Road, Fort Bragg, NC 28310 | 2016-08-31 |
| 1629435714 | John Gagnier | Physician Assistant | Gruber Road, Building #c-1722, Fort Bragg, NC 28310 | 2016-01-21 |
| Find all providers in zip 28310 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629360250 | Eric Russell Sigmon | Pediatrics | Womack Army Medical Center 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2011-05-16 |
| 1306979570 | Kathleen Dunn Farr | Pediatrics | Jsomtc Usajfkswcs, 2175 Reilly Road, Stop A, Fort Bragg, NC 28310-5000 | 2007-03-14 |
| 1841225539 | Janice Elaine Katz | Pediatrics | Robinson Health Clinic Womack Ctr, Building C1722 Tagatay Street, Fort Bragg, NC 28310-0001 | 2006-07-11 |
| 1932178449 | Christopher Robshaw | Pediatrics | 510 Cypress St Ste D, Fort Bragg, CA 95437-5411 | 2006-03-16 |
| 1124094248 | Richard K Kynion | Pediatrics | Department of Pediatrics, Womack Army Medical Center, Fort Bragg, NC 28310-0001 | 2006-02-28 |
| 1215909551 | Ursula Yvette Chesney-grady | Pediatrics | Wamc Stop A Mcxc Dop, 2817 Reilly Road, Fort Bragg, NC 28310-5000 | 2006-02-02 |
| 1629060850 | Marie Nelson | Pediatrics | Bastogne St Bldg 5-4257, Fort Bragg, NC 28310-0001 | 2005-08-15 |
| 1063824324 | Ann Didomenico Schilling | Pediatrics | 2817 Reilly St, Fort Bragg, NC 28310 | 2014-05-21 |
| 1235578600 | Stephanie Ann Berdy | Pediatrics | 2817 Reilly St, Fort Bragg, NC 28310-0004 | 2013-06-19 |
| 1639464811 | Regina Williams | Pediatrics | 2817 Reilly St, Womack Army Medical Center, Fort Bragg, NC 28310 | 2011-06-15 |
| Find all providers in FORT BRAGG | ||||
| City | FORT BRAGG |
| Zip Code | 28310 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.