Provider Demographics
NPI:1831181833
Name:PADGETT, NEIL E (MD)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:E
Last Name:PADGETT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1111 BENFIELD BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-3002
Mailing Address - Country:US
Mailing Address - Phone:410-729-5100
Mailing Address - Fax:410-729-5156
Practice Address - Street 1:7711 QUARTERFIELD RD
Practice Address - Street 2:SUITE A
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-4492
Practice Address - Country:US
Practice Address - Phone:410-761-5600
Practice Address - Fax:410-761-5734
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2011-01-24
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Provider Licenses
StateLicense IDTaxonomies
MDD0033296207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD485641OtherAETNA CAPITATED
MD110120464OtherRR MEDICARE
MD1320907OtherCIGNA PIN
MD235429OtherMAMSI SPECIALIST
MD4323217OtherAETNA FEE FOR SERVICE
MD429131000Medicaid
MD7605-0029OtherCAREFIRST BLUECHOICE
MDP11956OtherCAREFIRST MPOS
MD023550OtherJHHC PROVIDER NUMBER
MD354405-02OtherCAREFIRST MD RENDERING
MD835429OtherMAMSI PRIMARY CARE
MD429131000Medicaid
MD354405-02OtherCAREFIRST MD RENDERING