Active NPI
Orthopedic Surgery & Sports Medicine PC
- Orthopaedic Surgery Physician
- Ithaca, NY
National Provider Identifier
1336236884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 1346861
- Legal business name
- ORTHOPEDIC SURGERY & SPORTS MEDICINE PC
- Practice address
- 1301 Trumansburg Rd
Suite R
Ithaca, NY 14850-1397 - Phone
- (607) 272-7000
- Fax
- (607) 272-4604
- NPI assigned
- Oct 6, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dirk H Dugan, MD
- Title
- President Cfo
- Phone
- (607) 272-7000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 1346861 | NY | Primary |
Addresses
Primary practice location
1301 Trumansburg Rd
Suite R
Ithaca, NY 14850-1397
Mailing address
1301 Trumansburg Rd
Suite R
Ithaca, NY 14850-1397
Phone (607) 272-7000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000910746001 | Other | NY | HEALTHNOW |
| 00722803 | Medicaid | NY | |
| 4217146 | Other | NY | AETNA |
National Provider Directory
National Provider DirectoryLocations
1301 Trumansburg Rd
Ste R
Ithaca, NY 14850
Phone (607) 272-7000
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Ithaca, NY
- NPI 1699854208
-
- Physician Assistant
- Ithaca, NY
- NPI 1306925912
-
- Specialist
- Ithaca, NY
- NPI 1154395812
-
- Physician Assistant
- Ithaca, NY
- NPI 1417264623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1336236884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 TRUMANSBURG RD",
"address_2": "SUITE R",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501397",
"telephone_number": "607-272-7000",
"fax_number": "607-272-4604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 TRUMANSBURG RD",
"address_2": "SUITE R",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501397",
"telephone_number": "607-272-7000",
"fax_number": "607-272-4604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC SURGERY & SPORTS MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DUGAN",
"authorized_official_first_name": "DIRK",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT CFO",
"authorized_official_telephone_number": "607-272-7000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "1346861",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNOW",
"identifier": "000910746001",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00722803",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4217146",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
- Lisa Spring Orinda, RN
- Jennifer Orleans, PH.D.
- Janice Hall Ormsby, DDS
- Orthodontic Associates PC (Orthodontic Group of the Finger Lakes)
- Orthodontic Group of the Fingerlakes PLLC
- Marybeth Osborn
- Coleen Mary Osborne, L.AC
- Hannah Catherine Oshields, LMSW
- Osteopathy Matters PLLP
- Osteopathy Matters, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.