John Andrew Bradshaw
Pediatrician Pediatric Infectious Diseases
10 Graham Rd W
Ithaca
, New York 14850-1055
John Andrew Bradshaw
Pediatrician Pediatric Infectious Diseases
10 Graham Rd W
Ithaca
, New York 14850-1055
(607) 266-7341
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About
Features
Specialties
- Pediatrician
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- John Andrew Bradshaw
- 10 Graham Rd W
- Ithaca, NY
- Zip : 14850-1055
- Fax : (607) 266-7341
- Phone : (607) 257-2188
Second Address
- John Andrew Bradshaw
- 10 Graham Rd W
- Ithaca, NY
- Zip : 14850-1055
- Fax : (607) 266-7341
- Phone : (607) 257-2188
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 216716 | NY |
| N | 2080P0208X | Pediatric Infectious Diseases | 216716 | NY |
National Provider Identifier
| NPI | 1124000518 |
|---|---|
| Provider Name | John Andrew Bradshaw |
| First Address | Ithaca, NY 14850-1055 |
| Second Address | Ithaca, NY 14850-1055 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/11/2005 |
| Last Update Date | 21/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000136319 | BLUE SHIELD/HMO/EXCELLUS (01) | |
| 00920290002 | HEALTH NOW (01) | |
| 02223650 | (05) | NY |
| 10867 | TOTALCARE/MANAGED MA (01) | NY |
| 161010811 | COMMERCIAL CARRIERS (01) | |
| 161010811 | RMSCO (01) | |
| H16959 | (02) | NY |
| V018315 | TRICARE (01) |
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.