John Andrew Bradshaw
MD | Pediatrics | Male
John Andrew Bradshaw, MD is a Ithaca, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of John Andrew Bradshaw is
10 Graham Rd W, Ithaca, New York - 14850-1055. He can be contacted on phone at
607-257-2188 and fax number 607-266-7341.
John Andrew Bradshaw is a sole proprietor of his business.
NPI number (Unique professional ID) for John Andrew Bradshaw is
1124000518 which was assigned by NPPES on 19 Nov, 2005 and it was last updated on 21 Sep, 2012.
John Andrew Bradshaw license number is
216716 for Pediatrics (208000000X) in New York.
John Andrew Bradshaw is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
John Andrew Bradshaw basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | John Andrew Bradshaw |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
John Andrew Bradshaw address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 10 Graham Rd W
Ithaca, NY, 14850-1055
United States |
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| Phone Number : | 607-257-2188 |
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| Fax Number : | 607-266-7341 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1124000518 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Nov, 2005 |
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| Last Updated On : | 21 Sep, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John Andrew Bradshaw are as mentioned. Primary taxonomy code for John Andrew Bradshaw, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0208X | Pediatrics Pediatric Infectious Diseases | No | 216716 | NY |
| 208000000X | Pediatrics | Yes | 216716 | NY |
Legacy Identifiers:
Other legacy medical identifiers of John Andrew Bradshaw such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 161010811 | Other | | COMMERCIAL CARRIERS |
| 00920290002 | Other | | HEALTH NOW |
| 10867 | Other | NY | TOTALCARE/MANAGED MA |
| 02223650 | MEDICAID | NY | |
| V018315 | Other | | TRICARE |
| 000136319 | Other | | BLUE SHIELD/HMO/EXCELLUS |
| 161010811 | Other | | RMSCO |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 10 Graham Rd W
Ithaca, NY, 14850-1055
United States |
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| Phone Number : | 607-257-2188 |
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| Fax Number : | 607-266-7341 |
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Business Location:
Patients can refer following map for directions to
John Andrew Bradshaw practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.