Raymond M Pongonis in Dublin - Sports Medicine
Raymond M Pongonis - NPI 1922085596
Raymond M Pongonis is a Sports Medicine in Dublin, Ohio. Raymond M Pongonis practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Raymond M Pongonis is 1922085596. The last update date is 2021-03-23.
Raymond M Pongonis's current location address is 3900 Stoneridge Ln Ste C, Dublin, Ohio. You can contact this provider via phone number 6143669324 and fax number 6143669339. The mailing address for Raymond M Pongonis is 3900 Stoneridge Ln Ste C, Dublin, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raymond M Pongonis |
|---|---|
| Address | 3900 Stoneridge Ln Ste C, Dublin, Ohio |
| Phone Number | 6143669324 |
| Fax Number | 6143669339 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1922085596 |
|---|---|
| Provider Enumeration Date | 2005-12-27 |
| Last Updated Date | 2021-03-23 |
Provider Mailing Address Detail
| Address | 3900 Stoneridge Ln Ste C |
|---|---|
| City | Dublin |
| State | Ohio (OH) |
| Post Code | 430172289 |
| Phone Number | 6143669324 |
| Fax Number | 6143669339 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 34.003156 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 461950 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Raymond M Pongonis by the Centers for Medicare & Medicaid Services (CMS)?
The Raymond M Pongonis has been assigned the NPI (National Provider Identifier) 1922085596. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Raymond M Pongonis's facilities are situated?
The facilities of Raymond M Pongonis are physically located at the following address: 3900 Stoneridge Ln Ste C, Dublin, OH, 430172289.
What is Raymond M Pongonis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Raymond M Pongonis is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qs0010X.
On what date did the Raymond M Pongonis receive the assignment of its 1922085596 from the Centers for Medicare & Medicaid Services?
The Raymond M Pongonis was issued its 1922085596 by the Centers for Medicare & Medicaid Services on 2005-12-27.
As of what date were the Raymond M Pongonis's details last updated?
The information pertaining to the Raymond M Pongonis, including its address, specialty, and other details, was most recently updated on 2021-03-23.