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Contact Information

JOSE S PADILLA JR, MD
120 HOSPITAL DR
SUITE 200
LEBANON, MO65536-9238
 Phone: 417-533-6780
 Fax: 417-533-6789
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for JOSE S PADILLA JR · (Male)

NPI # 1265449755
Status Active
Credentials MD
Entity Individual
Enumeration date 08/01/2006
Last updated 07/31/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • AR License # N-8118
  • AR License # N8118
  • MO License # 2015008157
  • AR Medicaid 120084001
  • MO Medicaid PENDING
Hospital affiliation(s)
  • MERCY HOSPITAL LEBANON - (Acute Care)
    100 HOSPITAL DRIVE
    LEBANON, MO 65536
  • MERCY HOSPITAL SPRINGFIELD - (Acute Care)
    1235 E CHEROKEE
    SPRINGFIELD, MO 65804
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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