Lou Ponce (NPI# 1790735454, PAC ID# 0042254203) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1790735454 |
| PAC ID by PECOS | 0042254203 |
| Professional Enrollment ID | I20100928001006 |
| Full Name | Lou Ponce |
| Organization Legal Name | LU PONCE MD PC |
| Address |
102 W Knight St Portland TN 37148-1415 |
| Phone Number | 6153252821 |
| Gender | M |
| Graduation Year | 1961 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 6507800760 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440003 | SUMNER REGIONAL MEDICAL CENTER |
| 440194 | TRISTAR HENDERSONVILLE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 102 W Knight St, Portland, TN 37148-1415 | 6153252821 | LU PONCE MD PC |
| Organization Legal Name | LU PONCE MD PC |
| Physicians | 1 |
| Street Address |
102 W KNIGHT ST |
| City | PORTLAND |
| State | TN |
| Zip | 37148-1415 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherry Flecksteiner | Physical Therapy | Nulife Physical Therapy Inc | 705 S Broadway B, Portland, TN 37148 |
| Trevor B Brandt | Physical Therapy | Star Physical Therapy Lp | 934 S Broadway, Suite 4, Portland, TN 37148 |
| Manu Joseph | Physical Therapy | Nulife Physical Therapy Inc | 705 S Broadway B, Portland, TN 37148 |
| Harvey M Lee | Physical Therapy | Nulife Physical Therapy Inc | 705 S Broadway B, Portland, TN 37148 |
| Sussette Robinson | Physical Therapy | Nulife Physical Therapy Inc | 705 S Broadway B, Portland, TN 37148 |
| Deniele Wilson | Physical Therapy | Star Physical Therapy Lp | 934 S Broadway, Portland, TN 37148 |
| Terri Ellison | Occupational Therapy | Star Physical Therapy Lp | 934 S Broadway, Portland, TN 37148 |
| Don Blocker | Optometry | 605 S Broadway, Portland, TN 37148-0470 | |
| Paula Havelin | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 235 Hwy 52 E, Portland, TN 37148-1402 |
| Andrea Reed | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 235 Hwy 52 E, Portland, TN 37148-1402 |
| Find all physicians in zip 37148 | |||
| City | PORTLAND |
| Zip Code | 37148 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | PORTLAND + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Lou Ponce.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.