Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | DC004603L | PA |
NPI | 1174503692 |
---|---|
Provider Name | Dr. Charles F Pados |
First Address | Erie, PA 16508-2830 |
Second Address | Erie, PA 16508-2858 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 21/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0012621070001 | (05) | PA |
1502531 | GATEWAY (01) | PA |
216178 | UPMC (01) | PA |
415781 | HEALTH AMERICA (01) | PA |
698747 | HIGHMARK BCBS (01) | PA |
7810095 | AETNA (01) | PA |
994720 | HIGHMARK BCBS (01) | PA |
U24839 | (02) | PA |