Active NPI
Matthew Carson Ponder, MD,DVM
- Emergency Medicine Physician
- Washington, DC
National Provider Identifier
1114026234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 052001
- Practice address
- Department of State 2401 E Street NW
Washington, DC 20522-1430 - Phone
- (844) 355-7673
- Fax
- (844) 355-7673
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 052001 | GA | Primary |
Addresses
Primary practice location
Department of State 2401 E Street NW
Washington, DC 20522-1430
Mailing address
5010 Warsaw PL Apt 31
Dulles, VA 20189-5010
Phone (844) 355-7673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33439257 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peachtree Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| South Fulton Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| North Florida Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Inphynet Contracting Services LLC | Emergency Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- madeleine.ponder@westgahealth.gadirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
-
- Emergency Medicine Physician
- Lake City, FL
- NPI 1538251186
-
- Emergency Medicine Physician
- Atlanta, GA
- NPI 1508039975
-
- Emergency Medicine Physician
- Atlanta, GA
- NPI 1821043787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1114026234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5010 WARSAW PL APT 31",
"city": "DULLES",
"state": "VA",
"postal_code": "201895010",
"telephone_number": "844-355-7673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPARTMENT OF STATE 2401 E STREET NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "205221430",
"telephone_number": "844-355-7673",
"fax_number": "844-355-7673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONDER",
"first_name": "MATTHEW",
"middle_name": "CARSON",
"name_prefix": "Dr.",
"credential": "MD,DVM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "052001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33439257",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.