BRADLEY A PONTANI (NPI# 1306800412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306800412 |
| Entity Type | Individual |
| Full Name | BRADLEY A PONTANI |
| Credential | M.D. |
| Practice Address |
1905 W 32nd St Suite 103 Joplin MO 64804-1529 |
| Mailing Address |
1905 W 32nd St Ste #103 Joplin MO 64804-1529 |
| Practice Telephone | 4175562185 |
| Mailing Telephone | 4175562185 |
| Mailing Fax Number | 4175566968 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2017-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | G5492 | TX | Other Service Providers |
| Y | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
G5492 | TX | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
G5492 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1230393-03 | 05 |
| Street Address |
1905 W 32ND ST SUITE 103 |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657490 | Terry J Richardson | Social Worker | 1905 W 32nd St, Ste 305, Joplin, MO 64804-1512 | 2005-05-23 |
| 1518356583 | Natasha Byrd | Nurse Practitioner | 1905 W 32nd St, Ste 403, Joplin, MO 64804-1529 | 2015-01-14 |
| 1235553611 | Kimberle S Patterson | Nurse Practitioner | 1905 W 32nd St, Suite 306, Joplin, MO 64804-1529 | 2014-02-06 |
| 1649691593 | Christina Holmes | Dietitian, Registered | 1905 W 32nd St, Ste 304, Joplin, MO 64804-1529 | 2013-12-19 |
| 1265866917 | Christa Torrisi | Nurse Practitioner | 1905 W 32nd St, Ste 302, Joplin, MO 64804-1529 | 2013-08-29 |
| 1063725380 | Gulshan Uppal | Psychiatry & Neurology | 1905 W 32nd St, Ste 403, Joplin, MO 64804-1529 | 2010-07-15 |
| 1437487790 | Damour Family Medicine | Family Medicine | 1905 W 32nd St, Suite 303, Joplin, MO 64804-1529 | 2009-11-25 |
| 1841429909 | Blankenship Internal Medicine, L.L.C. | Internal Medicine | 1905 W 32nd St, Ste. 407, Joplin, MO 64804-1529 | 2009-07-10 |
| 1467637769 | Hublall Radiology, LLC | Radiology | 1905 W 32nd St, Joplin, MO 64804-1529 | 2008-01-04 |
| 1659576734 | Roselyn Marie Mostert | Counselor | 1905 W 32nd St, Joplin, MO 64804-1529 | 2007-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 207PE0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Emergency Medicine [7/1/2008: source added, additional resources added] Additional Resources: Additional Resources: www.abem.org & American Board of Preventive Medicine www.abprevmed.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053401539 | Hyperbaric Oxygen of Kansas City Inc. | Emergency Medicine | 1000 Carondelet Drive, Kansas City, MO 64114-4673 | 2006-10-13 |
| 1104476928 | Complex Healthcare of Farmington LLC | Emergency Medicine | 555 W Pine St, Farmington, MO 63640-1439 | 2019-09-13 |
| 1356879563 | Lpp of Missouri LLC | Emergency Medicine | 201 Nw R D Mize Rd, Blue Springs, MO 64014 | 2017-06-01 |
| 1871844993 | Craig Goldstein Do Pa | Emergency Medicine | 8701 Troost Ave, Kansas City, MO 64131-2767 | 2012-09-28 |
| 1699033233 | Stephens Advanced Woundcare LLC | Emergency Medicine | 10000 Wornall Rd, Kansas City, MO 64114-4359 | 2012-05-02 |
| 1467726935 | Midwest Wound Care,llc | Emergency Medicine | 19401 E Us Highway 40, Suite 200, Independence, MO 64055-5451 | 2012-03-01 |
| 1730315797 | Julie M. Mazurek Md PC | Emergency Medicine | 201 Nw Rd Mize Rd, Blue Springs, MO 64014-2513 | 2009-06-04 |
| 1902082936 | Michael J Nelson Md PC | Emergency Medicine | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2008-01-22 |
| 1164602686 | Steven M. Orr, M.d., L.L.C. | Emergency Medicine | 5301 Faraon St, Saint Joseph, MO 64506-3373 | 2007-11-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.