TIMOTHY PONDER (NPI# 1396794004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396794004 |
| Entity Type | Individual |
| Full Name | TIMOTHY PONDER |
| Credential | MD |
| Practice Address |
1750 North Hampton Road Desoto TX 75115 |
| Practice Telephone | 2149464397 |
| Practice Fax Number | 2149464399 |
| Mailing Telephone | 2149464397 |
| Mailing Fax Number | 2149464399 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2013-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G4493 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 102401001 | 05 |
| Street Address |
1750 NORTH HAMPTON ROAD |
| City | DESOTO |
| State | TX |
| Zip Code | 75115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386627958 | David Leifer | Radiology | 1750 North Hampton Road, Desoto, TX 75115 | 2005-11-28 |
| 1386683977 | Tamara Campbell | Radiology | 1750 North Hampton Road, Desoto, TX 75115 | 2006-06-06 |
| 1689623464 | Christine Page | Radiology | 1750 North Hampton Road, Desoto, TX 75115 | 2006-05-09 |
| 1588613293 | David R Knight | Radiology | 1750 North Hampton Road, Desoto, TX 75115 | 2006-05-09 |
| 1013966043 | Brian Robert Crowhurst | Radiology | 1750 North Hampton Road, Desoto, TX 75115 | 2006-05-08 |
| 1922057959 | Carla Anderson | Radiology | 1750 North Hampton Road, Desoto, TX 75115 | 2006-05-08 |
| 1790733475 | Carolyn Jill Vandiver | Radiology | 1750 North Hampton Road, Desoto, TX 75115-2306 | 2006-05-04 |
| 1952386476 | Robert Farrell Jr. | Radiology | 1750 North Hampton Road, Desoto, TX 75115 | 2005-12-07 |
| 1144204652 | John D Wilson | Radiology | 1750 North Hampton Road, Desoto, TX 75115 | 2005-11-30 |
| 1558344127 | Michelle Walters | Radiology | 1750 North Hampton Road, Desoto, TX 75115 | 2005-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860257 | Emeka Abazie Dds Pa | Dentist | 1001 N. Beckley, Suite 304, Desoto, TX 75115 | 2020-10-30 |
| 1407453384 | Heather Mcdowell | Massage Therapist | 100 Bob White St # 3, Desoto, TX 75115 | 2020-10-05 |
| 1295201580 | Daniel Max & Marcandrea, LLC | Optometrist | 1309 E. Pleasant Run Rd, Desoto, TX 75115 | 2018-10-15 |
| 1316432180 | Texas Home Health Group of De Soto, LLC | Home Health | 911 York Drive, Suite 203, De Soto, TX 75115 | 2018-06-25 |
| 1033606694 | Dental Health Associates of Texas, PC | Dentist | 1001 N Beckley, Desoto, TX 75115 | 2018-04-19 |
| 1023516093 | Joseph Chinaecherem Anya | Pharmacist | 805 Raintree Ln, Desoto, TX 75115 | 2018-01-25 |
| 1396253837 | Medical Care Innovation, P.C. | Clinic/Center | 2019 N Interstate 35 E, Desoto, TX 75115 | 2018-01-18 |
| 1124534888 | Herlonda Dotson | Counselor | 620 Candelila Drive, Desoto, TX 75115 | 2017-12-18 |
| 1053839548 | Floristene Johnson | Nutritionist | 1353 Armstrong Drive, Desoto, TX 75115 | 2017-09-05 |
| 1699290577 | Dlb Pharmacy LLC | Pharmacy | 1801 N Hampton, Suite 340, Desoto, TX 75115 | 2017-08-11 |
| Find all providers in zip 75115 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386627958 | David Leifer | Radiology | 1750 North Hampton Road, Desoto, TX 75115 | 2005-11-28 |
| 1831190875 | Linda O'connell Judge | Radiology | 1750 N Hampton Rd, Desoto, TX 75115-2306 | 2005-08-01 |
| 1255738357 | Methodist-cdi | Radiology | 1750 N Hampton Rd, Desoto, TX 75115-2306 | 2014-12-04 |
| 1588937171 | Rca Advanced Imaging, Lp | Radiology | 1750 N Hampton Rd, Desoto, TX 75115-2306 | 2012-02-14 |
| 1508019084 | Justin Gil Smith | Radiology | 1750 N Hampton Rd, Desoto, TX 75115-2306 | 2008-10-29 |
| 1063616126 | Benjamin Travis Hines | Radiology | 1750 N Hampton Rd, Desoto, TX 75115-2306 | 2007-06-13 |
| 1386683977 | Tamara Campbell | Radiology | 1750 North Hampton Road, Desoto, TX 75115 | 2006-06-06 |
| 1336188911 | Radiological Consultants Association | Radiology | 1750 N Hampton Rd, Desoto, TX 75115-2306 | 2006-06-06 |
| 1689623464 | Christine Page | Radiology | 1750 North Hampton Road, Desoto, TX 75115 | 2006-05-09 |
| 1588613293 | David R Knight | Radiology | 1750 North Hampton Road, Desoto, TX 75115 | 2006-05-09 |
| Find all providers in DESOTO | ||||
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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.