Sergio Ponze, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301036859 Issued in MI

Practice address

G1071 N Ballenger Hwy
Suite 310
Flint, MI 48504-4453

Phone

(810) 238-4172

Fax

(810) 238-4153

NPI assigned

Oct 25, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1477543148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8355 JACLYN ANN DR",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G1071 N BALLENGER HWY",
            "address_2": "SUITE 310",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044453",
            "telephone_number": "810-238-4172",
            "fax_number": "810-238-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONZE",
        "first_name": "SERGIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301036859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311260010",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annalee Polmatier, PA-C
• Prathapraju Poloju
• Misty Dawn Polzin
• Devyani Suyodhan Poman
• Anoosha Ponnapalli, MD
• Janet Poole-Little, RN
• Eraina Ann Poole, MSW
• Katie Jean Poole, DNP, CPNP-PC
• Monika Poole, LLPC
• Petru Pop

• Specialist in Flint, MI
• Providers in Flint, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.