Pondview Personal Physician PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4301058357 Issued in MI

Legal business name

PONDVIEW PERSONAL PHYSICIAN PC

Practice address

43207 Pond View Dr
Sterling Heights, MI 48314-1890

Phone

(586) 254-3924

Fax

(586) 254-3924

NPI assigned

Jul 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Zahid Shiekh, MD

Title

President

Phone

(248) 399-1396

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1245430230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30236 JOHN R RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480715205",
            "telephone_number": "248-399-1396",
            "fax_number": "248-399-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43207 POND VIEW DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141890",
            "telephone_number": "586-254-3924",
            "fax_number": "586-254-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONDVIEW PERSONAL PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "SHIEKH",
        "authorized_official_first_name": "ZAHID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-399-1396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "4301058357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0808285921",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina H Poliss, O.D.
• Leonard B. Pollack, M.D.
• Danielle Polley, OTRL
• Jordan Polsinelli
• Pomkal Sterling Assisted LLC
• Dzenajla Ponjevic
• Timothy J Ponkowski Jr., DDS
• Jasmaine Pope
• Isabella Popp
• Charles Salvatori Porretta, MSN, FNP-C

• Clinic/Center in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.