Individual provider Active NPI

Marcelino Pon, M.D.

  • Family Medicine Physician
  • Harlingen, TX
National Provider Identifier
1598795254
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K0157 Issued in TX
Practice address
1401 S Rangerville Rd
BLDG. 503
Harlingen, TX 78552-7638
Phone
(956) 364-8412
Fax
(956) 364-8497
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K0157 TX Primary

Addresses

Primary practice location

1401 S Rangerville Rd
BLDG. 503
Harlingen, TX 78552-7638

Mailing address

1401 S Rangerville Rd
BLDG. 503
Harlingen, TX 78552-7638
Phone (956) 364-8412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041109000905 TX Practitioner - Family PracticePractitioner - Emergency Medicine 4284697327 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients
Health and Human Services Commission Current Accepting new patients
Family Allergy & Asthma Center PA Family Medicine Past Accepting new patients
Boone Emergency Physicians PLLC Past Accepting new patients
Wellcare Occupational Clinics PA Past Accepting new patients
JK Sun Valley Healthcare Associates PA Past Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients

Locations

2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053

4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327

902 Airport Rd
Corpus Christi, TX 78405
Phone (361) 844-7651

1401 S Rangerville Rd
Harlingen, TX 78552
Phone (956) 364-8000

1401 S Rangerville Rd
Bldg 503
Harlingen, TX 78552
Phone (956) 364-8000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1598795254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S RANGERVILLE RD",
            "address_2": "BLDG. 503",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785527638",
            "telephone_number": "956-364-8412",
            "fax_number": "956-364-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S RANGERVILLE RD",
            "address_2": "BLDG. 503",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785527638",
            "telephone_number": "956-364-8412",
            "fax_number": "956-364-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PON",
        "first_name": "MARCELINO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K0157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.