Raymond M Pongonis DO, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34003156 Issued in OH

Legal business name

RAYMOND M PONGONIS DO, INC.

Practice address

2407 Sportsman Dr
Grove City, OH 43123-3987

Phone

(614) 875-8315

Fax

(614) 875-8328

NPI assigned

Mar 23, 2006

Organization subpart

No

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

Authorized official

Name

Raymond M Pongonis, D.O.

Title

President

Phone

(614) 875-8315

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1780644039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 SPORTSMAN DR",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233987",
            "telephone_number": "614-875-8315",
            "fax_number": "614-875-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 SPORTSMAN DR",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233987",
            "telephone_number": "614-875-8315",
            "fax_number": "614-875-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND M PONGONIS DO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "PONGONIS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-875-8315",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34003156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0213307",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Rapp, MSW, LISW-S, LICDC
• Leslie Ann Rapsawich, D.C.
• Allie K Rawson, QMHS
• Derek Alexander Ray, DPT
• Vincent L Ray
• RDW Investments
• Red Roses Home Health Agency LLC
• Tracie Reddy
• Vinutha C Reddy, M.D
• Chase Reed

• Family Medicine Physician in Grove City, OH
• Providers in Grove City, 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 Nov 20, 2012; 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.