Provider Demographics
NPI:1730226978
Name:PADEN, MATTHEW HUNTER (DPM)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:HUNTER
Last Name:PADEN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7615 W 38TH AVE
Mailing Address - Street 2:SUITE B133
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6172
Mailing Address - Country:US
Mailing Address - Phone:303-423-2520
Mailing Address - Fax:
Practice Address - Street 1:7615 W 38TH AVE
Practice Address - Street 2:SUITE B133
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6172
Practice Address - Country:US
Practice Address - Phone:303-423-2520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO458213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01004589Medicaid
COU53266Medicare UPIN
COW7228Medicare ID - Type Unspecified
CO01004589Medicaid