Active NPI
Patrick B Ponko, CRNA
- Certified Registered Nurse Anesthetist
- Latrobe, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN-290771-L
- Practice address
- 121 W 2ND Ave
Latrobe, PA 15650-1068 - Phone
- (724) 537-1230
- NPI assigned
- Feb 17, 2006
- Last updated
- Nov 19, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN-290771-L | PA | Primary |
Addresses
Primary practice location
121 W 2ND Ave
Latrobe, PA 15650-1068
Mailing address
PO Box 229
Latrobe, PA 15650-0229
Phone (201) 804-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
463 Brush Run Rd
Suite 100
Greensburg, PA 15601-8705
Phone (724) 691-0354
6154 Route 30
Suite 100
Greensburg, PA 15601-1551
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-290771-L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Pittsburgh Anesthesia LLC | Current | Accepting new patients | |
| BPW Medical Associates P C | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Upmc Somerset | Current | Accepting new patients | |
| Upmc Somerset | Current | Accepting new patients | |
| Greene County Anesthesia Services,PC | Past | Accepting new patients | |
| Western Pennsylvania Anesthesia Associates, LTD. | Past | Accepting new patients |
Locations
463 Brush Run Rd
Greensburg, PA 15601
Phone (724) 691-0354
463 Brush Run Rd
#100
Greensburg, PA 15601
Phone (724) 691-0354
225 S Center Ave
Somerset, PA 15501
Phone (814) 443-5000
500 N Lewis Run Rd
Ste 202
West Mifflin/Pleasant Hills, PA 15122
Phone (412) 469-6952
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Greensburg, PA
- NPI 1316663644
-
- Anesthesiology Physician
- Pittsburgh, PA
- NPI 1508820390
Nurse Anesthetist, Certified Registered
-
dba UPMC Somerset Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Somerset, PA
- NPI 1689296147
-
- Psychiatric Hospital Unit
- Somerset, PA
- NPI 1558381988
-
- Pain Medicine (Anesthesiology) Physician
- Pittsburgh, PA
- NPI 1386639847
-
- Anesthesiology Physician
- Toledo, OH
- NPI 1205811734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384819200000",
"number": "1972578599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 229",
"city": "LATROBE",
"state": "PA",
"postal_code": "156500229",
"telephone_number": "201-804-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 W 2ND AVE",
"city": "LATROBE",
"state": "PA",
"postal_code": "156501068",
"telephone_number": "724-537-1230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONKO",
"first_name": "PATRICK",
"middle_name": "B",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2013-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN-290771-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Latrobe, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.