Individual provider Active NPI

Patrick B Ponko, CRNA

  • Certified Registered Nurse Anesthetist
  • Latrobe, PA
National Provider Identifier
1972578599
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN-290771-L Issued in PA
Practice address
121 W 2ND Ave
Latrobe, PA 15650-1068
Phone
(724) 537-1230
NPI assigned
Feb 17, 2006
Last updated
Nov 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20050601000105 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355383340 Reassigns benefits to 3 organizations

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
East Pittsburgh Anesthesia LLCGroup PAC ID 1759751035, 3 clinicians

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

LicenseStateTypeSpecialty
RN-290771-LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
East Pittsburgh Anesthesia LLC CurrentSince Nov 11, 2024 Accepting new patients
BPW Medical Associates P C Nurse Anesthetist, Certified Registered CurrentSince Sep 23, 2014 Accepting new patients
Upmc Somerset CurrentSince Dec 4, 2020 Accepting new patients
Upmc Somerset CurrentSince Dec 4, 2020 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.

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.

Verify at the official NPI Registry.