John A. Ponzo, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

K6245 Issued in TX

Practice address

2201 N Central Expy Ste 185
Richardson, TX 75080-2763

Phone

(303) 933-8270

NPI assigned

Mar 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Clinics of North Texas LLP

  • Diagnostic Radiology Physician
  • Wichita Falls, TX
  • NPI 1124007760
  NPD (past)
• Consultants in Radiology PA

  • Diagnostic Radiology Physician
  • Hurst, TX
  • NPI 1922034602
  NPD (past)
• Radcare of Tennessee PC

  • Diagnostic Radiology Physician
  • Chattanooga, TN
  • NPI 1538186226
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1902867740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 CAMINO DEL VERDES PL",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812257",
            "telephone_number": "512-341-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N CENTRAL EXPY STE 185",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802763",
            "telephone_number": "303-933-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONZO",
        "first_name": "JOHN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K6245",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "15572",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "8F2751",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "0423154-03",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR/MEDICARE",
            "identifier": "300127137",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0423154-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Kyler Pomeroy, D.C.
• Aimee D. Pompa, M.S.
• Justin Tai Pon, PHARMD
• Ana Liseth Ponciano, LMSW
• Jeevanandam Ponnuswamy
• Katelyn Emily Poojaroen, RBT
• Kasey Rogner Pool, OTR
• Poole Pediatrics, P.a.
• Julie D Poole, M.D.
• Ta-Taneal Pope

• Diagnostic Radiology Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.