Provider Demographics
NPI:1871564070
Name:PAWSON, JOHN FRANCIS (DPM)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:FRANCIS
Last Name:PAWSON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9229 FLATLANDS AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-3721
Mailing Address - Country:US
Mailing Address - Phone:718-257-1444
Mailing Address - Fax:718-272-5822
Practice Address - Street 1:9229 FLATLANDS AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3721
Practice Address - Country:US
Practice Address - Phone:718-257-1444
Practice Address - Fax:718-272-5822
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-27
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005416213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU73765Medicare UPIN
NYPA8771Medicare ID - Type Unspecified