Jimmy Nolan Ponder in Gray - Interventional Pain Medicine
Jimmy Nolan Ponder - NPI 1689644874
Jimmy Nolan Ponder is a Interventional Pain Medicine in Gray, Louisiana. Jimmy Nolan Ponder practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Jimmy Nolan Ponder is 1689644874. The last update date is 2010-07-08.
Jimmy Nolan Ponder's current location address is 123 Frontage A Rd, Gray, Louisiana. You can contact this provider via phone number 9855801200 and fax number 9855801218. The mailing address for Jimmy Nolan Ponder is 123 Frontage A Rd, Gray, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jimmy Nolan Ponder |
|---|---|
| Address | 123 Frontage A Rd, Gray, Louisiana |
| Phone Number | 9855801200 |
| Fax Number | 9855801218 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1689644874 |
|---|---|
| Provider Enumeration Date | 2006-01-23 |
| Last Updated Date | 2010-07-08 |
Provider Mailing Address Detail
| Address | 123 Frontage A Rd |
|---|---|
| City | Gray |
| State | Louisiana (LA) |
| Post Code | 703596301 |
| Phone Number | 9855801200 |
| Fax Number | 9855801218 |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Pain Medicine |
|---|---|
| Taxonomy | 208Vp0014X |
| Licence No | 20658 |
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Definition: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1903680 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jimmy Nolan Ponder by the Centers for Medicare & Medicaid Services (CMS)?
The Jimmy Nolan Ponder has been assigned the NPI (National Provider Identifier) 1689644874. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Jimmy Nolan Ponder located?
The Jimmy Nolan Ponder is located at 123 Frontage A Rd, Gray, LA 703596301.
What is Jimmy Nolan Ponder's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jimmy Nolan Ponder's area of specialization is Interventional Pain Medicine, and the corresponding taxonomy code that categorizes this field of practice is 208Vp0014X.
When did Jimmy Nolan Ponder receive its 1689644874 assignment?
The Jimmy Nolan Ponder was assigned its 1689644874 on 2006-01-23, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Jimmy Nolan Ponder most recently updated or revised?
The information pertaining to Jimmy Nolan Ponder, including its address, specialty, and other relevant details, was last updated or revised on 2010-07-08.
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