Individual
JORGE A PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 CHARLES DIMMOCK PARKWAY, STE 100, COLONIAL HEIGHTS, VA 23834
(804) 526-5888
(804) 828-4762
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101284777
VA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
0101284777
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
0101284777
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/31/2016
Last updated
01/27/2026
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