Active NPI
Pamela Ponce, MD
- Pediatrics Physician
- Winter Garden, FL
National Provider Identifier
1376794883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME10845
- Practice address
- 17000 Porter Rd Ste 208
Winter Garden, FL 34787-8915 - Phone
- (407) 635-3013
- Fax
- (407) 636-7844
- NPI assigned
- Oct 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN12942 | FL | |
| Pediatrics Physician | 208000000X | ME10845 | FL | Primary |
Addresses
Primary practice location
17000 Porter Rd Ste 208
Winter Garden, FL 34787-8915
Mailing address
17000 Porter Rd Ste 208
Winter Garden, FL 34787-8915
Phone (407) 635-3013
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME10845 | FL | MD | Pediatrics Physician |
| TRN12942 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Physicians Network Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
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- Orlando, FL
- NPI 1568693554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1376794883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17000 PORTER RD STE 208",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347878915",
"telephone_number": "407-635-3013",
"fax_number": "407-636-7844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17000 PORTER RD STE 208",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347878915",
"telephone_number": "407-635-3013",
"fax_number": "407-636-7844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONCE",
"first_name": "PAMELA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-02",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN12942",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME10845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.