Raymond M Pongonis Do, Inc.

LBN: Raymond M Pongonis Do, Inc.
Raymond M Pongonis Do, Inc. is an health care organization with primary practice located at 2407 Sportsman Dr , Grove City OH 43123-3987. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Raymond M Pongonis Do, Inc. can be contacted via phone (614) 875-8315, or through Pongonis, Raymond M via phone (614) 875-8315.

Contact Information

Primary practice address
2407 Sportsman Dr Grove City OH 43123-3987
Phone: (614) 875-8315
Fax: (614) 875-8328
Website:
Map and Directions
Authorized official contact:
Name: Pongonis, Raymond M Doctor of Osteopathy (DO)
Phone: (614) 875-8315

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34003156 Ohio

Profile Details

NPI number 1780644039
LBN Legal business name Raymond M Pongonis Do, Inc.
DBA Doing business as
Authorized official Pongonis, Raymond M Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2006
Last updated Nov 20th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780644039 NPPES
Ohio MEDICAID 0213307

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