Dr Matthew Carson Ponder, MD,DVM | |
Department Of State 2401 E Street Nw, Washington, DC 20522-1430 | |
(844) 355-7673 | |
(844) 355-7673 |
Full Name | Dr Matthew Carson Ponder |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | Department Of State 2401 E Street Nw, Washington, District Of Columbia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114026234 | NPI | - | NPPES |
33439257 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 052001 (Georgia) | Primary |
Entity Name | Lagrange Emergency Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760437560 PECOS PAC ID: 0840207072 Enrollment ID: O20060314000271 |
Entity Name | The Bortolazzo Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew Carson Ponder, MD,DVM 5010 Warsaw Pl Apt 31, Dulles, VA 20189-5010 Ph: (844) 355-7673 | Dr Matthew Carson Ponder, MD,DVM Department Of State 2401 E Street Nw, Washington, DC 20522-1430 Ph: (844) 355-7673 |
Emily Jean Siegel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Irving St Nw, Washington, DC 20010 Phone: 202-877-8080 | |
Todd Templeman, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 110 Irving St Nw, Suite Na-1177, Washington, DC 20010 Phone: 202-877-7632 Fax: 202-877-2468 | |
James A. D'orta, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1700 Pennsylvania Ave Nw, Suite 550, Washington, DC 20006 Phone: 202-955-0000 | |
Guenevere Vanessa Burke, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 50 Irving St Nw, Washington, DC 20422 Phone: 202-741-3581 | |
Jennifer Yu, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Irving St Nw, C/o Surgical Critical Care Services, Washington, DC 20010 Phone: 202-877-7000 | |
Diane A Sauter, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3800 Reservoir Rd Nw, Washington, DC 20007 Phone: 202-444-2119 | |
Namman N Halabi, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1150 Varnum St Ne, Washington, DC 20017 Phone: 202-269-7000 |