JOHN DOUGLAD MACGILLIVRAY (NPI# 1275510182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275510182 |
| Entity Type | Individual |
| Full Name | JOHN DOUGLAD MACGILLIVRAY |
| Credential | M. D. |
| Practice Address |
523 E 72nd St New York NY 10021-4099 |
| Mailing Address |
535 E 70th St New York NY 10021-4872 |
| Practice Telephone | 2126061896 |
| Practice Fax Number | 2127742778 |
| Mailing Telephone | 2126061896 |
| Mailing Fax Number | 2127742778 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2008-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
188511 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01946854 | 05 |
| Street Address |
523 E 72ND ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-4099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811522584 | Jason Li | Physician Assistant | 523 E 72nd St, New York, NY 10021-4099 | 2020-03-03 |
| 1497398010 | Eleni Manitaras | Physician Assistant | 523 E 72nd St, New York, NY 10021-4099 | 2019-10-27 |
| 1215468087 | Michael B. Cross, Md, P.C. | Orthopaedic Surgery | 523 E 72nd St, Attention: Michael Cross, M.d., New York, NY 10021-4099 | 2017-03-23 |
| 1780049395 | Amy Agria | Physician Assistant | 523 E 72nd St, 3rd Floor, New York, NY 10021-4099 | 2015-12-24 |
| 1306222484 | Comprehensive Medical Billing | Orthopaedic Surgery | 523 E 72nd St, 3rd Floor, New York, NY 10021-4099 | 2015-07-30 |
| 1699164384 | Federico P Girardi, Md PC | Orthopaedic Surgery | 523 E 72nd St, Ground Floor, New York, NY 10021-4099 | 2015-01-18 |
| 1174925119 | James C Farmer Md PC | Orthopaedic Surgery | 523 E 72nd St, New York, NY 10021-4099 | 2014-09-22 |
| 1851716609 | Darren R. Lebl, Md PC | Orthopaedic Surgery | 523 E 72nd St, New York, NY 10021-4099 | 2014-03-03 |
| 1619398823 | Mark Drakos Md Pllc | Orthopaedic Surgery | 523 E 72nd St, New York, NY 10021-4099 | 2013-12-16 |
| 1730433582 | Allison Horvath | Physician Assistant | 523 E 72nd St, New York, NY 10021-4099 | 2012-11-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609175 | Haneen Qadourah | Student in an Organized Health Care Education/Training Program | Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 | 2020-04-27 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1750915344 | Stacyann S Foster | Nurse Practitioner | 1305 York Avenue 2nd Floor, New York, NY 10021 | 2020-02-24 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
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| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609421122 | Mulchandani Medical Pllc | Orthopaedic Surgery | 139 Centre St Lbby Suite102, New York, NY 10013-4552 | 2019-08-02 |
| 1578046421 | Djf Orthopedics and Sports Medicine | Orthopaedic Surgery | 165 W End Ave Apt 28p, New York, NY 10023-5516 | 2018-09-06 |
| 1467872879 | Spencer Matthew Stein | Orthopaedic Surgery | 530 E 23rd St Apt 7f, New York, NY 10010-5030 | 2014-04-24 |
| 1235574435 | Stephanie Swensen Buza | Orthopaedic Surgery | 541 E 71st St, New York, NY 10021-4871 | 2013-05-02 |
| 1225271711 | J.l.glashow M.d.,p.c. | Orthopaedic Surgery | 737 Park Ave Ste 1c, New York, NY 10021-4256 | 2009-04-13 |
| 1255594230 | Alexis Chiang Colvin | Orthopaedic Surgery | 5 E. 98th St, Box 1188, New York, NY 10029 | 2008-07-09 |
| 1649354903 | Srino Bharam Md PC | Orthopaedic Surgery | 130 E. 77th St, 8 Fl Black Hall, New York, NY 10075 | 2006-10-24 |
| 1194816876 | Jerry Lubliner | Orthopaedic Surgery | 215 E 73rd St, Suite 3c, New York, NY 10021-3653 | 2006-09-27 |
| 1609834753 | Orrin Howard Sherman | Orthopaedic Surgery | 145 E. 32 Street, 4 Th Floor, New York, NY 10016-6055 | 2006-05-01 |
| 1134116445 | Thomas Youm | Orthopaedic Surgery | 1056 5th Ave, New York, NY 10028-0112 | 2005-10-02 |
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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.