AIDA B. PONCE (NPI# 1598714396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598714396 |
| Entity Type | Individual |
| Full Name | AIDA B. PONCE |
| Credential | M.D. |
| Practice Address |
144 N Frost Dr Suite 4 Saginaw MI 48638-7186 |
| Practice Telephone | 9897907665 |
| Practice Fax Number | 9897909147 |
| Mailing Telephone | 9897907665 |
| Mailing Fax Number | 9897909147 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2011-03-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
ABP040553 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1587050 | 05 | |
| MI | BLUE CROSS ID# | 3507333702 | 01 |
| MI | HEALTH PLUS ID # | 0400553 | 01 |
| MI | BLUE CARE NETWORK ID# | P60002 | 01 |
| Street Address |
144 N FROST DR SUITE 4 |
| City | SAGINAW |
| State | MI |
| Zip Code | 48638-7186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457329518 | Charles Fredericks Lydy | Dentist | 144 N Frost Dr, Saginaw, MI 48638-7186 | 2006-03-14 |
| 1093966640 | Charles F. Lydy, D.d.s., P.C. | Dentist | 144 N Frost Dr, Suite 1, Saginaw, MI 48638-7186 | 2008-10-01 |
| 1245279355 | Rakesh Chokshi | Internal Medicine | 144 N Frost Dr, Saginaw, MI 48638-7186 | 2006-06-05 |
| 1295780591 | Rakesh Chokshi Md Plc | Internal Medicine | 144 N Frost Dr, Saginaw, MI 48638-7186 | 2006-05-24 |
| 1952350571 | Elvira M Dawis | Pediatrics | 144 N Frost Dr, Suite 2, Saginaw, MI 48638 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235604547 | Kristina Susan Spohn | Behavior Technician | 300 Saint Andrews Rd Ste 408, Saginaw, MI 48638 | 2018-10-12 |
| 1538686803 | Jennifer A Nickels | Behavioral Analyst | 300 Saint Andrews Rd Ste 409, Saginaw, MI 48638 | 2017-08-27 |
| 1013209634 | Ryan D Michelson Dds Plc | Dentist | 65 North Frost Drive, Saginaw, MI 48638 | 2011-05-16 |
| 1477645539 | Mark Walter Pankonin | Family Medicine | 1600 Midland Rd, Saginaw, MI 48638 | 2006-09-28 |
| 1386735579 | John Edwin Galsterer | Dentist | 5605 Colony Drive North, Saginaw, MI 48638 | 2006-09-27 |
| 1699873075 | Phadej Keopunna | Urology | 70 North Frost Dr, Saginaw, MI 48638 | 2006-09-20 |
| 1790881902 | Jeffrey John Dwan | Dentist | 595 N Center Rd, Ste 5, Saginaw, MI 48638 | 2006-09-15 |
| 1396705364 | Christina Marie Barba | Physical Therapist | 4884 Gratiot Avenue, Suite 19, Saginaw, MI 48638 | 2006-03-24 |
| 1538136353 | Joseph E Oesterling | Specialist | 1740 Midland Rd, Saginaw, MI 48638 | 2006-03-01 |
| 1558916650 | Kayela Lynn Oberloier | Behavior Technician | 300 Saint Andrews Rd Ste 408, Saginaw, MI 48638 | 2019-08-06 |
| Find all providers in zip 48638 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952350571 | Elvira M Dawis | Pediatrics | 144 N Frost Dr, Suite 2, Saginaw, MI 48638 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265921191 | Gogue Pediatrics, P.C. | Pediatrics | 39242 Dequindre Rd Ste 101, Sterling Heights, MI 48310-1764 | 2018-05-07 |
| 1073010625 | Vernor Pediatric PC | Pediatrics | 4607 W Vernor Hwy, Detroit, MI 48209-2117 | 2018-04-10 |
| 1801257738 | Alshefa Family Practice Pllc | Pediatrics | 28780 Ryan Rd, Suite B, Warren, MI 48092-2521 | 2016-03-20 |
| 1497130132 | Branch Pediatric&adolescent Medicinepc | Pediatrics | 360 E Chicago St Ste 101, Coldwater, MI 49036-2086 | 2015-07-23 |
| 1700277977 | Spectrum Health United | Pediatrics | 318 S Bridge St, Belding, MI 48809-1764 | 2015-02-10 |
| 1477943900 | Pediatric & Adolescent Clinic of Michigan | Pediatrics | 37375 Curtis Rd, Livonia, MI 48152-4090 | 2015-02-04 |
| 1316360043 | William Waters | Pediatrics | 981 Townline Rd, Charlevoix, MI 49720-8970 | 2014-01-31 |
| 1114348596 | Southwest Pediatrics Pllc | Pediatrics | 37672 Professional Center Dr Ste 120, Livonia, MI 48154-1140 | 2014-01-02 |
| 1467889386 | Community Health Center of Branch County | Pediatrics | 450 E Grant St, Bronson, MI 49028-1524 | 2013-10-09 |
| 1851687107 | Community Health Center of Branch County | Pediatrics | 18 Colfax St, Quincy, MI 49082-1139 | 2011-06-24 |
| Find all providers with the same taxonomy | ||||
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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.