DR. JOHN A. PONZO M.D. NPI 1902867740

NPI Information

NPI: 1902867740
Provider Name: DR. JOHN A. PONZO, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
2201 N CENTRAL EXPY STE 185
RICHARDSON, TX
ZIP 75080
Phone: (303) 933-8270
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DR. John A. Ponzo, M.D. is a diagnostic radiology radiology in Richardson, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. John A. Ponzo, M.D. NPI is 1902867740. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2201 N CENTRAL EXPY STE 185
RICHARDSON, TX
ZIP 75080-763
Phone: (303) 933-8270

The NPI 1902867740 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/31/2006 and was last updated on 4/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	15572	NEVADA	No
2	2085R0202X	Radiology	Diagnostic Radiology	K6245	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	258480ZNLH	MEDICARE PIN	TEXAS
2	300127137	OTHER	TEXAS	RR/MEDICARE
3	8273M4	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
4	258480ZNJR	MEDICARE PIN	TEXAS
5	8F2751	OTHER	TEXAS	BLUE SHIELD
6	0423154-02	MEDICAID	TEXAS
7	0423154-03	OTHER	TEXAS	CSHCN
8	G28160	MEDICARE UPIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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