Pond Medical Center Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34.008481 Issued in OH

Legal business name

POND MEDICAL CENTER INC.

Practice address

5130 Blazer Pkwy
Dublin, OH 43017-1339

Phone

(614) 771-8811

Fax

(614) 771-8858

NPI assigned

Jan 31, 2018

Last updated

Jan 31, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kaslyn Vernon

Title

Office Manager

Phone

(614) 771-8811

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1538667944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 BLAZER PKWY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171339",
            "telephone_number": "614-771-8811",
            "fax_number": "614-771-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 BLAZER PKWY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171339",
            "telephone_number": "614-771-8811",
            "fax_number": "614-771-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POND MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "KASLYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "614-771-8811"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.008481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000387356",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2595080",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "271767571001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Pollak, LSW
• Tina Pollock
• Jeff Brian Polzin, RPH
• BJ Pomerants, MD
• Elijah Ponce, RBT
• David W Pond, D.O.
• Raymond M Pongonis, D.O.
• Morgan Poppenga, RBT
• Nora Pore
• Katelyn Porter

• Family Medicine Physician in Dublin, OH
• Providers in Dublin, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.