NPIMap

Organization Active NPI

Stephen L Ponton DPM

  • Podiatrist
  • West Frankfort, IL
National Provider Identifier
1902072135
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016004115 Issued in IL
Legal business name
STEPHEN L PONTON DPM
Practice address
215 N Logan St
Ste C
West Frankfort, IL 62896-2314
Phone
(618) 937-2200
Fax
(618) 937-2226
NPI assigned
May 7, 2008
Last updated
May 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Stephen Lee Ponton, DPM
Title
Owner
Phone
(618) 937-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016004115 IL Primary

Addresses

Primary practice location

215 N Logan St
Ste C
West Frankfort, IL 62896-2314

Mailing address

215 N Logan St
Ste C
West Frankfort, IL 62896-2314
Phone (618) 937-2200

National Provider Directory

National Provider Directory

Locations

215 N Logan St
Ste C
West Frankfort, IL 62896
Phone (618) 937-2200

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1902072135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N LOGAN ST",
            "address_2": "STE C",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628962314",
            "telephone_number": "618-937-2200",
            "fax_number": "618-937-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N LOGAN ST",
            "address_2": "STE C",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628962314",
            "telephone_number": "618-937-2200",
            "fax_number": "618-937-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN L PONTON DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "PONTON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-937-2200",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.