Dr Ivan Darius Gowan, MD | |
85 College St, Hamilton, NY 13346-1227 | |
(315) 824-1250 | |
Not Available |
Full Name | Dr Ivan Darius Gowan |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery - Sports Medicine |
Location | 85 College St, Hamilton, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235198490 | NPI | - | NPPES |
00842957 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0005X | Orthopaedic Surgery - Sports Medicine | 153105 (New York) | Primary |
Entity Name | College St Orthopedics |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356300545 PECOS PAC ID: 6608895230 Enrollment ID: O20051114000428 |
Mailing Address | Practice Location Address |
---|---|
Dr Ivan Darius Gowan, MD 85 College St, Hamilton, NY 13346-1227 Ph: (315) 824-1250 | Dr Ivan Darius Gowan, MD 85 College St, Hamilton, NY 13346-1227 Ph: (315) 824-1250 |
Dr. Rudolph A Buckley, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 College St, Hamilton, NY 13346 Phone: 315-824-1250 Fax: 315-824-8961 | |
Russell Matthew Lafrance, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 College St, Hamilton, NY 13346 Phone: 315-824-1250 Fax: 315-824-2033 | |
Dr. Michael G Zahn, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 College St, Hamilton, NY 13346 Phone: 315-824-1250 Fax: 315-824-8961 | |
Dr. Raymond John Meeks, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 College St, Hamilton, NY 13346 Phone: 315-824-1250 Fax: 315-824-8961 |