Ivan Darius Gowan, MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

153105 Issued in NY

Practice address

85 College St
Hamilton, NY 13346-1227

Phone

(315) 824-1250

NPI assigned

Mar 17, 2006

Last updated

Sep 14, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ivan Gowan MD

  • Orthopaedic Surgery Physician
  • Hamilton, NY
  • NPI 1346276847
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1235198490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 COLLEGE ST",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133461227",
            "telephone_number": "315-824-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 COLLEGE ST",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133461227",
            "telephone_number": "315-824-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWAN",
        "first_name": "IVAN",
        "middle_name": "DARIUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "153105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00842957",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J Failing, RPA-C
• Faxton St Lukes Healthcare
• Tamaika Floy, DPM
• Gregory Alan Fuller, RPH
• Kristin Elizabeth Garrity, ATC, LAT
• Andrew D Gracey, MSPT
• Jackie Jean Hagmann, LMT
• Travis J. Hall, PHD
• Hamilton Chiropractic Health Center, LLP
• Hamilton Critical Care and Emergency Consultants PC

• Sports Medicine (Orthopaedic Surgery) Physician in Hamilton, NY
• Providers in Hamilton, NY by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.