Dr. John M. Childress
Emergency Physician Sports Medicine Sports Medicine Orthopaedic Surgeon
550 1st Ave
New York
, New York 10016-6402
Dr. John M. Childress
Emergency Physician Sports Medicine Sports Medicine Orthopaedic Surgeon
550 1st Ave
New York
, New York 10016-6402
(212) 263-3522
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About
Features
Specialties
- Emergency Physician
- Sports Medicine Orthopaedic Surgeon
- Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. John M. Childress
- 550 1st Ave
- New York, NY
- Zip : 10016-6402
- Fax : (212) 263-3522
- Phone : (212) 263-3293
Second Address
- Dr. John M. Childress
- 550 1st Ave
- New York, NY
- Zip : 10016-6402
- Fax : (212) 263-3522
- Phone : (212) 263-3293
Reviews
FAQs
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What type of doctor is Dr. John M. Childress
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Is Dr. John M. Childress a sole practitioner?
Is Dr. John M. Childress accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 35 123788 | OH |
| N | 207P00000X | Emergency Physician | ME95727 | FL |
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | ME 95727 | FL |
| Y | 2081S0010X | Sports Medicine | ME 95727 | FL |
| Y | 213ES0000X | Sports Medicine | ME 95727 | FL |
National Provider Identifier
| NPI | 1134157605 |
|---|---|
| Provider Name | Dr. John M. Childress |
| First Address | New York, NY 10016-6402 |
| Second Address | New York, NY 10016-6402 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2006 |
| Last Update Date | 09/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I32503 | (02) | |
| PENDING | (05) | FL |
| PENDING | BLUE SHIELD OF FL (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.