Jeffrey L Ponsky, MD | |
11100 Euclid Ave, Cleveland, OH 44106 | |
(216) 844-7874 | |
Not Available |
Full Name | Jeffrey L Ponsky |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 11100 Euclid Ave, Cleveland, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255304614 | NPI | - | NPPES |
000000221283 | Other | OH | UNISON |
0309035 | Medicaid | OH | |
000000503716 | Other | OH | ANTHEM |
P00358838 | Other | OH | RAILROAD MEDICARE |
363924 | Other | OH | WELLCARE |
4077734 | Other | OH | AETNA |
738086 | Other | OH | BUCKEYE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 35035782 (Ohio) | Primary |
Entity Name | University Hospitals Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey L Ponsky, MD 3605 Warrensville Center Rd, 1st Floor, Shaker Heights, OH 44122 Ph: (216) 286-6295 | Jeffrey L Ponsky, MD 11100 Euclid Ave, Cleveland, OH 44106 Ph: (216) 844-7874 |
Dr. Masato Fujiki, M.D., PH.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-8007 Fax: 216-444-9375 | |
Dr. Vanessa Phillis Ho, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800 | |
Dr. Rachael C Sullivan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 440-449-1101 | |
Anna Martha Chichura, MD Surgery Medicare: Medicare Enrolled Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-2200 Fax: 216-636-1296 | |
Dr. Jordan Michael Winter, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-5777 Fax: 216-844-2888 | |
Iuliana Dit Bobanga, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-2200 | |
Dr. Raymond Isakov, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, A60, Cleveland, OH 44195 Phone: 216-445-3765 Fax: 216-444-9419 |