Provider Demographics
NPI:1083856280
Name:ERNESTO R. PADRON, M.D, LLC
Entity Type:Organization
Organization Name:ERNESTO R. PADRON, M.D, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNESTO
Authorized Official - Middle Name:ROGELIO
Authorized Official - Last Name:PADRON
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:402-933-8375
Mailing Address - Street 1:3213 S. 24TH STREET, SUITE 101-B
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68108-1825
Mailing Address - Country:US
Mailing Address - Phone:402-933-8375
Mailing Address - Fax:402-933-9964
Practice Address - Street 1:3213 S. 24TH STREET, SUITE 101-B
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68108-1825
Practice Address - Country:US
Practice Address - Phone:402-933-8375
Practice Address - Fax:402-933-9964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-02
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL336072878207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty