National Provider Identifier
John A Mecenas, M.D.
John A Mecenas, M.D. is listed in the NPPES registry with a primary specialty of Surgery Physician in Ithaca, NY and a listed phone number of (607) 273-3161.
Profile Overview
- NPI
- 1821090036
- Provider Type
- Individual
- Primary Specialty
- Surgery Physician
- Enumeration Date
- June 01, 2005
- Last Updated
- July 08, 2007
Practice Location
- 1301 Trumansburg RD
- Ste E
- Ithaca, NY 14850-1397
Phone: (607) 273-3161
Mailing Address
- 194 Bush Ln
- Ithaca, NY 14850-1000
Specialties
- Surgery Physician (208600000X)
Full Record
- NPI
- 1821090036
- Entity Type
- Individual
- Last Name
- Mecenas
- First Name
- John
- Middle Name
- A
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 194 Bush Ln
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1000
- Mailing Country
- US
- Mailing Phone
- (607) 273-3161
- Mailing Fax
- (607) 273-4979
- Practice Street Address
- 1301 Trumansburg RD
- Practice Address Line 2
- Ste E
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1397
- Practice Country
- US
- Practice Phone
- (607) 273-3161
- Practice Fax
- (607) 273-4979
- Enumeration Date
- June 01, 2005
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgery Physician (208600000X)
- Other Identifiers
- 02285954 (NY)