| Raymond M Pongonis Do, Inc. | |
|
2407 Sportsman Dr Grove City OH 43123-3987 | |
| (614) 875-8315 | |
| (614) 875-8328 |
| Full Name | Raymond M Pongonis Do, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 2407 Sportsman Dr, Grove City, Ohio |
| Authorized Official Name and Position | Raymond M Pongonis (PRESIDENT) |
| Authorized Official Contact | 6148758315 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond M Pongonis Do, Inc. 2407 Sportsman Dr Grove City OH 43123-3987 Ph: (614) 875-8315 | Raymond M Pongonis Do, Inc. 2407 Sportsman Dr Grove City OH 43123-3987 Ph: (614) 875-8315 |
| NPI Number | 1780644039 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 11/20/2012 |
| Medicare PECOS PAC ID | 9133116981 |
|---|---|
| Medicare Enrollment ID | O20040426001255 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780644039 | NPI | - | NPPES |
| 0213307 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34003156 (Ohio) | Primary |
| Provider Name | Cheryl A Kramb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447386636 PECOS PAC ID: 0042207805 Enrollment ID: I20040426001321 |
| Provider Name | Raymond M Pongonis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922085596 PECOS PAC ID: 6103835061 Enrollment ID: I20060420000470 |
| Provider Name | Robert T Sickles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235116831 PECOS PAC ID: 2668522293 Enrollment ID: I20090602000561 |
Hoover Road Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4151 Hoover Rd, Grove City, OH 43123 Phone: 614-875-3152 Fax: 614-875-0090 | |
Doctors Hospital Family Practice, Ohiohealth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2030 Stringtown Rd, Third Floor, Grove City, OH 43123 Phone: 614-544-0101 Fax: 614-544-0102 | |
Phillip B. Doudna, D.c., Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4305 Broadway, Grove City, OH 43123 Phone: 614-875-1121 Fax: 614-875-1111 | |
Phoenix Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1955 Ohio Dr, Grove City, OH 43123 Phone: 614-991-0658 Fax: 614-413-3536 | |
W D Henceroth Do Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3774 Broadway, Grove City, OH 43123 Phone: 614-875-6349 Fax: 614-875-3633 | |
American Health Network Of Ohio Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4072 Gantz Rd, Grove City, OH 43123 Phone: 614-875-0011 Fax: 614-875-0736 | |
Grove City Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3055 Columbus St, Grove City, OH 43123 Phone: 614-875-9900 |