Basic Information
| Provider Information | |||||||||
| NPI: | 1154315513 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PALADE | ||||||||
| FirstName: | ADELINA | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 785 5TH AVE STE 3 | ||||||||
| Address2: | |||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172014232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172639555 | ||||||||
| FaxNumber: | 7177096529 | ||||||||
| Practice Location | |||||||||
| Address1: | 46 WALNUT BOTTOM RD STE 200 | ||||||||
| Address2: | |||||||||
| City: | SHIPPENSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172578219 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7175324148 | ||||||||
| FaxNumber: | 7175323561 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2005 | ||||||||
| LastUpdateDate: | 06/02/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD427383 | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 406319 | 01 | PA | HEALTH AMERICA | OTHER | 2141612 | 01 | PA | MAMSI | OTHER | 25-1716306 | 01 | PA | INFORMED | OTHER | 25-1716306 | 01 | PA | DEVON | OTHER | 867633 | 01 | PA | MEDICARE GROUP # | OTHER | G920-0046/647646 | 01 | PA | CAREFIRST | OTHER | P00309701 | 01 | PA | RAILROAD MEDICARE | OTHER | PA1771588 | 01 | PA | HIGHMARK BLUESHIELD | OTHER | 1007307260034 | 01 | PA | MEDICAID GROUP # | OTHER | 1014601240001 | 05 | PA | MEDICAID | 1101669 | 01 | PA | AETNA HMO | OTHER | 174566 | 01 | PA | UNISON | OTHER | 50056550 | 01 | PA | CAPITAL BLUECROSS | OTHER | P006852 | 01 | PA | GATEWAY | OTHER | 25-1716306 | 01 | PA | SOUTH CENTRAL PREFERRED | OTHER | 25-1716306 | 01 | PA | MULTIPLAN/PHCS | OTHER | 7287827 | 01 | PA | AETNA NON-HMO | OTHER | MD427383 | 01 | PA | LICENSE | OTHER | 120420400 | 01 | PA | DEPT OF LABOR | OTHER | 25-1716306 | 01 | PA | INTERGROUP | OTHER | 5662319 | 01 | PA | FIRST HEALTH | OTHER | BP9456066 | 01 | PA | DEA | OTHER | 25-1716306 | 01 | PA | GREATWEST HEALTHCARE | OTHER | 25-1716306 | 01 | PA | HEALTHNET/TRICARE | OTHER |