Organization Active NPI

Ponder Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Abilene, TX
National Provider Identifier
1740861558
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
PONDER ANESTHESIA PLLC
Practice address
2120 Antilley Rd
Abilene, TX 79606-5211
Phone
(325) 695-2020
NPI assigned
Apr 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Jonathan Ponder, CRNA
Title
Owner
Phone
(325) 660-5535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

2120 Antilley Rd
Abilene, TX 79606-5211

Mailing address

2438 Industrial Blvd
PMB 166
Abilene, TX 79605-7207
Phone (325) 660-5535

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL UNKNOWN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210428001139 TX Part B Supplier - Clinic/Group Practice 8426466681 Receives reassigned benefits from 1 practitioner
Practice locations: Abilene, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1740861558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2438 INDUSTRIAL BLVD",
            "address_2": "PMB 166",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796057207",
            "telephone_number": "325-660-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 ANTILLEY RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065211",
            "telephone_number": "325-695-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONDER ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "PONDER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-660-5535",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "UNKNOWN",
            "affiliation": "N",
            "address_1": "2120 Antilley Rd",
            "city": "Abilene",
            "state": "TX",
            "country_code": "US",
            "postal_code": "796065211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.