DR. JOHN DAVID POWELL JR. (NPI# 1619169042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619169042 |
| Entity Type | Individual |
| Full Name | DR. JOHN DAVID POWELL JR. |
| Credential | MD |
| Practice Address |
1200 Route 300 Newburgh NY 12550-5003 |
| Mailing Address |
155 Crystal Run Rd Middletown NY 10941-4057 |
| Practice Telephone | 8457036999 |
| Practice Fax Number | 8457036297 |
| Mailing Telephone | 8457036999 |
| Mailing Fax Number | 8457036297 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2020-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 293364 | NY | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD447851 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265917488 | John Michael Powell | Registered Nurse | 1444 W Wilson Rd, Clio, MI 48420-1644 | 2018-10-03 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1699023606 | John Erik Powell | Case Manager/Care Coordinator | 1372 N 5th St Apt 2, Laramie, WY 82072-2065 | 2012-08-22 |
| 1952552283 | John H. Powell | Psychologist | 7122 Woodfield Dr, Tampa, FL 33617-8730 | 2008-10-06 |
| 1316138431 | John Anthony Powell Sr. | Nursing Care | 697 E 91st St, Cleveland, OH 44108-1232 | 2007-08-05 |
| 1376751768 | John Ray Powell Jr. | Dentist | 911 Julian Allsbrook Hwy., Weldon, NC 27890-0911 | 2007-05-18 |
| 1851415350 | John Randy Powell | Counselor | 207 W Palestine Ave, Palestine, TX 75801-7531 | 2007-03-19 |
| 1073660551 | John W. Powell | Specialist/Technologist | 105 Im Circle, East Lansing, MI 48824-1020 | 2007-01-05 |
| 1639285570 | John Murrill Powell | Optometrist | 1870 Mountain View Ave, Suite 1, Loma Linda, CA 92354-1765 | 2006-08-22 |
| 1578591988 | John D Powell | Family Medicine | 1731 Connelly Springs Rd, Lenoir, NC 28645-7827 | 2006-06-28 |
| Street Address |
1200 ROUTE 300 |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316917990 | Eileen Gayle Bogursky | Obstetrics & Gynecology | 1200 Route 300, Newburgh, NY 12550-5003 | 2006-01-25 |
| 1649894338 | Alexis Nicole Manz | Physician Assistant | 1200 Route 300, Newburgh, NY 12550-5003 | 2020-05-29 |
| 1134643075 | Michelle Newell-whitney | Nurse Practitioner | 1200 Route 300, Newburgh, NY 12550-5003 | 2017-08-02 |
| 1831610369 | Mandi L. Zaccagnino | Nurse Practitioner | 1200 Route 300, Newburgh, NY 12550-5003 | 2017-07-06 |
| 1790137743 | Tiffanie R. Santos | Pediatrics | 1200 Route 300, Newburgh, NY 12550-5003 | 2016-07-01 |
| 1356796312 | Megan Elizabeth Kaknis | Internal Medicine | 1200 Route 300, Newburgh, NY 12550-5003 | 2016-04-27 |
| 1053780403 | Crystal Run Healthcare Physicians LLP | Durable Medical Equipment & Medical Supplies | 1200 Route 300, Newburgh, NY 12550-5003 | 2015-09-16 |
| 1104207893 | Theresa Marie Clearwater | Nurse Practitioner | 1200 Route 300, Newburgh, NY 12550-5003 | 2015-06-18 |
| 1063807980 | Sebastian Salvatore Demarco | Dermatology | 1200 Route 300, Newburgh, NY 12550-5003 | 2015-03-30 |
| 1871993642 | Veronica Ferencz | Surgery | 1200 Route 300, Crystal Run Healthcare- Breast Surgery, Newburgh, NY 12550 | 2014-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740432327 | Stanley Lawrence Grossman | Surgery | 82 Susan Dr, Newburgh, NY 12550-1409 | 2008-10-15 |
| 1588851158 | Harvey R Horn Md PC | Surgery | 419 Robinson Ave, Newburgh, NY 12550-3337 | 2007-09-27 |
| 1376746115 | Newburgh Surgical Services, Pllc | Surgery | 460 Gibney Avenue, Newburgh, NY 12550 | 2007-06-08 |
| 1225114978 | Paul Reichman | Surgery | 460 Gidney Avenue, Newburgh, NY 12550 | 2006-10-27 |
| 1083638704 | Harvey Ronald Horn | Surgery | 419 Robinson Avenue, Newburgh, NY 12550-3337 | 2006-07-26 |
| 1952702326 | Dubois Physician Services | Surgery | 70 Dubois St, Newburgh, NY 12550-4851 | 2014-09-04 |
| 1871993642 | Veronica Ferencz | Surgery | 1200 Route 300, Crystal Run Healthcare- Breast Surgery, Newburgh, NY 12550 | 2014-08-29 |
| 1104254903 | Physician At Newburgh | Surgery | 70 Dubois St, Newburgh, NY 12550-4851 | 2013-10-15 |
| 1235266644 | Mid Hudson Surgical Associates, PC | Surgery | 460 Gidney Ave, Newburgh, NY 12550-3117 | 2007-02-27 |
| 1427157478 | David Harrison | Surgery | 1200 Route 300, Newburgh, NY 12550-5003 | 2006-09-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.