| 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 |
|---|---|
| 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 | |
Thomas Toole, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 160 Broad St, Hamilton, NY 13346 Phone: 315-824-7040 Fax: 315-501-1070 | |
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 |