Steven Ponicsan Jr., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2930 11TH Ave
Evans, CO 80620-1011

Phone

(970) 350-4606

Fax

(970) 350-4645

NPI assigned

Nov 20, 2015

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

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Denver Springs Physician Group LLC

  • Psychiatry Physician
  • Englewood, CO
  • NPI 1144742016
  Medicare reassignment
• Uhs of Centennial Peaks LLC

  dba Centennial Peaks Hospital

  • Psychiatric Hospital
  • Louisville, CO
  • NPI 1760623888
  Medicare reassignment
• Uhs of Denver, Inc.

  dba Highlands Behavioral Health System

  • Psychiatric Hospital
  • Littleton, CO
  • NPI 1326133216
  Medicare reassignment
• Uhs of Centennial Peaks, LLC

  dba Centennial Peaks Hospital

  • Family Nurse Practitioner
  • Louisville, CO
  • NPI 1386179711

  Physician Assistant

  NPD
• Uhs of Denver, Inc.

  dba Highlands Behavioral Health System

  • Family Nurse Practitioner
  • Highlands Ranch, CO
  • NPI 1083227540

  Physician Assistant

  NPD
• Behavioral Health Physicians Group PLLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Lakewood, CO
  • NPI 1679168249
  NPD (past)

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1699149120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 11TH AVE",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806201011",
            "telephone_number": "970-350-4606",
            "fax_number": "970-350-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 11TH AVE",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806201011",
            "telephone_number": "970-350-4606",
            "fax_number": "970-350-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONICSAN",
        "first_name": "STEVEN",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbe Jo Owens
• Antonio Michele Pacitto
• Lieng T Pham, DDS
• Joy L Pitts, LPC
• Planet View Inc.
• Rianna Punturiero
• Danielle Grace Ripsam, MOT, OTR
• Reagan Robinson
• Lydia Mary Romero
• Kaleigh Nicole Rose, RD, CLC

• Physician Assistant in Evans, CO
• Providers in Evans, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.