Richard G. Ponder, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

2005009495 Issued in MO

Practice address

1 Hospital Dr
Columbia, MO 65201-5276

Phone

(573) 882-2568

Fax

(573) 882-2226

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

G and G Anesthesia LLCGroup PAC ID 4981912607, 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Anderson Hospital Hospital, Maryville, IL, CCN 140289

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• G & G Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Maryville, IL
  • NPI 1487020111
  Medicare reassignment Care Compare group
• Ambulatory Surgery Center of Centralia, LLC

  • Clinic/Center
  • Centralia, IL
  • NPI 1265495824
  Medicare reassignment NPD
• Ambulatory Surgery Center of Centralia, LLC

  • Ambulatory Surgical Clinic/Center
  • Centralia, IL
  • NPI 1811957251
  NPD
• Anesthesia Partners, LTD.

  • Anesthesiology Physician
  • Saint Louis, MO
  • NPI 1043270465
  NPD (past)
• Forest Park Anesthesia, Inc

  • Anesthesiology Physician
  • Saint Louis, MO
  • NPI 1962432914
  NPD (past)
• Sluh Anesthesia Physicians, L.L.C.

  • Anesthesiology Physician
  • Saint Louis, MO
  • NPI 1821385493
  NPD (past)
• Covenant Medical Center, Inc

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1619412376
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Anderson Hospital

  • General Acute Care Hospital
  • Maryville, IL
  • NPI 1053481630
  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1366460750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7687",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652057687",
            "telephone_number": "573-882-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015276",
            "telephone_number": "573-882-2568",
            "fax_number": "573-882-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONDER",
        "first_name": "RICHARD",
        "middle_name": "G.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2005009495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "917558009",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naveen Pokala, M.D.
• Kelly M Polley, P.A.
• Alan M Polniak
• Jennifer Olsen Polniak, R.D., C.D.E, PA-C
• Michael Pompliano, MD
• Sowmya Ponugoti
• Daniella Popesku, COTA
• Jessica Gail Popielarz, DNP, APRN, PMHNP-BC
• Shelby Lynn Popkes, BCBA, LBA
• Nathan F Portell

• Certified Registered Nurse Anesthetist in Columbia, MO
• Providers in Columbia, MO by specialty
• Certified Registered Nurse Anesthetist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.