Individual provider Active NPI

Neil Meredith Ponder, D.O.

  • Obstetrics & Gynecology Physician
  • Kennewick, WA
National Provider Identifier
1629239603
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OP60262172 Issued in WA
Practice address
4309 W 27TH PL Ste 300
Kennewick, WA 99338-2909
Phone
(509) 491-3889
NPI assigned
Jun 22, 2008
Last updated
Jul 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 255855 NY
Obstetrics & Gynecology Physician 207V00000X OP60262172 WA Primary

Addresses

Primary practice location

4309 W 27TH PL Ste 300
Kennewick, WA 99338-2909

Mailing address

PO Box 925
Richland, WA 99352-0925
Phone (509) 946-7900

Other practice location 1

900 Stevens Dr Ste 203
Richland, WA 99352-3536
Phone (509) 946-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120515000142 WA Practitioner - Obstetrics/Gynecology 1052590403 Reassigns benefits to 2 organizations
I20200108002004 NY Practitioner - Obstetrics/Gynecology 1052590403 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ohio University, College of Osteopathic Medicine, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Desert Sky Womens Healthcare IncGroup PAC ID 0244536514, 2 clinicians

Practice addresses (Care Compare)

4309 W 27TH PL
Suite 300
Kennewick, WA 99338-2909
Phone (509) 491-3889

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP60262172WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Canton-Potsdam Hospital CurrentSince Jun 28, 2024 Accepting new patients
OBGYN Hospitalist Medical Services of New York, P.C. Obstetrics & Gynecology CurrentSince Nov 9, 2019 Accepting new patients
Women2Women Obstetrics and Gynecology, LLC Obstetrics & Gynecology CurrentSince Sep 27, 2020 Accepting new patients
Canton-Potsdam Hospital CurrentSince Jun 28, 2024 Accepting new patients
Comprehensive Womens Health Care by Dhruv Agneshwar MD PC Obstetrics & Gynecology CurrentSince Jan 15, 2022 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Feb 2, 2020 Accepting new patients
Obhg Washington, PC Obstetrics & Gynecology CurrentSince Jan 15, 2020 Accepting new patients
RCCH Trios Health LLC Past Accepting new patients

Locations

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

180 Harry L Dr
Johnson City, NY 13790
Phone (607) 417-0500

30 Harrison St
Ste 340
Johnson City, NY 13790
Phone (607) 763-8088

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

355 Main St
Johnson City, NY 13790
Phone (607) 798-1602

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

2210 Troy Schenectady Rd
Schenectady, NY 12309
Phone (518) 346-6400

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800

Interoperability endpoints

  • Direct secure messaging: nponder@dswh-wa.direct.office.nextgen.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1214092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1629239603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 925",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993520925",
            "telephone_number": "509-946-7900",
            "fax_number": "509-946-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 W 27TH PL STE 300",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382909",
            "telephone_number": "509-491-3889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Stevens Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523536",
            "country_code": "US",
            "telephone_number": "509-946-7900",
            "fax_number": "509-946-7944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONDER",
        "first_name": "NEIL",
        "middle_name": "MEREDITH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-22",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "255855",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "OP60262172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.