DOUGLASS POWELL (NPI# 1164413944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164413944 |
| Entity Type | Individual |
| Full Name | DOUGLASS POWELL |
| Credential | M.D. |
| Practice Address |
4820 W Taft Rd Suite 208 Liverpool NY 13088-2800 |
| Mailing Address |
792 N Main St Suite 100a North Syracuse NY 13212-1644 |
| Practice Telephone | 3154512261 |
| Practice Fax Number | 3154513162 |
| Mailing Telephone | 3154239722 |
| Mailing Fax Number | 3154239687 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2010-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
140371 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
4820 W TAFT RD SUITE 208 |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13088-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730175241 | Alessandro Giambartolomei | Internal Medicine | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2800 | 2005-09-21 |
| 1053853283 | Amy Cambareri | Psychologist | 4820 W Taft Rd, Suite 108, Liverpool, NY 13088-2800 | 2016-11-04 |
| 1114399599 | Elizabeth Marie Carrigan | Nurse Practitioner | 4820 W Taft Rd, Suite 201, Liverpool, NY 13088-2800 | 2015-10-26 |
| 1235552639 | Paul Fallon | Dentist | 4820 W Taft Rd, Liverpool, NY 13088-2800 | 2014-01-22 |
| 1801183801 | Daniel Francis Morris | Dentist | 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 | 2011-06-29 |
| 1295048130 | Amy D Scullion | Nurse Practitioner | 4820 W Taft Rd, Liverpool, NY 13088-2800 | 2010-07-21 |
| 1720258205 | Endodontic Specialists, PC | Dentist | 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 | 2008-03-11 |
| 1720257033 | Leo A Massaro | Dentist | 4820 W Taft Rd, Suite 102, Liverpool, NY 13088-2800 | 2008-02-21 |
| 1104039742 | Hooman Ranjbaran-jahromi | Internal Medicine | 4820 W Taft Rd, #209, Liverpool, NY 13088-2800 | 2007-05-08 |
| 1992926257 | Paul Casey Fallon | Dentist | 4820 W Taft Rd, Liverpool, NY 13088-2800 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878966 | Anthony Edward Blumetti | Psychologist | 5100 W. Taft Road, Suite 3b, Liverpool, NY 13088 | 2019-12-12 |
| 1609350016 | Alice Nellenbach | Physical Therapy Assistant | 346 Electronics Pkwy, Liverpool, NY 13088 | 2018-09-20 |
| 1043741457 | Dawn Marie Thomas | Licensed Practical Nurse | 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 | 2017-03-27 |
| 1154775633 | Arielle L Leonard | Massage Therapist | 609 7th N. Street, Suite 2, Liverpool, NY 13088 | 2016-04-20 |
| 1942664362 | Accessibility Solutions, Inc. | Contractor | 115 Luther Avenue, Liverpool, NY 13088 | 2016-04-12 |
| 1497176333 | Sergey Golovko | Psychiatry & Neurology | 125 Sun Harbor Dr, Liverpool, NY 13088 | 2013-12-19 |
| 1205275286 | Brandon William Crandall | Nurse Practitioner | 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 | 2013-06-23 |
| 1184976805 | Audrey Irene Tyszka | Social Worker | 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 | 2012-10-04 |
| 1790049096 | Kelley Beth Burt | Speech-Language Pathologist | 110 Elwood Davis Road, Liverpool, NY 13088 | 2012-07-02 |
| 1811288954 | Nedim Ruhotina | Urology | 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 | 2011-04-24 |
| Find all providers in zip 13088 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013190321 | Thomas Lloyd Feigman | Obstetrics & Gynecology | 5100 W Taft Rd, Suite 3g, Liverpool, NY 13088-3807 | 2007-12-10 |
| 1245391440 | Mark Billinson | Obstetrics & Gynecology | 5100 W Taft Rd, Suite 3g, Liverpool, NY 13088-3807 | 2006-12-12 |
| 1275595142 | Suman Mishra | Obstetrics & Gynecology | 5100 W Taft Rd, Suite 3g, Liverpool, NY 13088-3807 | 2006-04-05 |
| 1407818719 | Michael V Cummings | Obstetrics & Gynecology | 5100 W Taft Rd, Suite 3g, Liverpool, NY 13088-3807 | 2006-04-03 |
| 1063473189 | Spryos D Kitromilis | Obstetrics & Gynecology | 5100 W Taft Rd, Suite 4f, Liverpool, NY 13088-3807 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370975 | Legacy Gynecology Pllc | Obstetrics & Gynecology | 136 Maple Rd, Amherst, NY 14221-2922 | 2020-09-11 |
| 1700494143 | Neighborhood Family Medicine | Obstetrics & Gynecology | 50 Front St, Binghamton, NY 13905-4708 | 2020-07-22 |
| 1467070029 | Electra Health Medical PC | Obstetrics & Gynecology | 335 Madison Ave Fl 3, New York, NY 10017-4616 | 2020-07-10 |
| 1164048021 | Park East Medical Pllc | Obstetrics & Gynecology | 870 5th Ave Apt 1b, New York, NY 10065-4907 | 2020-06-17 |
| 1497391486 | Central Park Gyn | Obstetrics & Gynecology | 233 W 58th Street, New York, NY 10019 | 2019-11-25 |
| 1861955858 | New H Medical, P.C. | Obstetrics & Gynecology | 1150 Park Ave Ste 1a, New York, NY 10128-1244 | 2019-04-08 |
| 1851857379 | Broadway Gyn Office, P.c | Obstetrics & Gynecology | 4915 Broadway # 1-k, New York, NY 10034-3119 | 2019-02-20 |
| 1841755063 | Elizabeth Anne Mancuso | Obstetrics & Gynecology | 3 E 69th St, New York, NY 10021-5249 | 2019-02-01 |
| 1699239251 | Gynecology and Integrative Women's Care | Obstetrics & Gynecology | 30 E 23rd St Fl 7, New York, NY 10010-4440 | 2019-01-29 |
| 1699248542 | Great Wall Medical, P.C. | Obstetrics & Gynecology | 201e 28th Street, Suite #1b, New York, NY 10016 | 2019-01-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.