Terry Brent Ponder
ASSOCIATED PATHOLOGISTS LLC


Address: 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396
Phone: 6152214474

Terry Brent Ponder (NPI# 1336108349, PAC ID# 1850347832) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.

Physician Overview

Nation Provider ID (NPI) 1336108349
PAC ID by PECOS 1850347832
Professional Enrollment ID I20160323002296
Full Name Terry Brent Ponder
Organization Legal Name ASSOCIATED PATHOLOGISTS LLC
Address 2620 N Westwood Blvd
Poplar Bluff
MO 63901-3396
Phone Number 6152214474
Gender M
Credential MD
Medical School UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduation Year 1985
Primary Specialty PATHOLOGY
Group Practice PAC ID 0648167544
Number of Group Practice Members 82
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
260119 POPLAR BLUFF REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 6152214474 ASSOCIATED PATHOLOGISTS LLC

Organization Information

Organization Legal Name ASSOCIATED PATHOLOGISTS LLC
Physicians 97

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Office Location

Street Address 2620 N WESTWOOD BLVD
City POPLAR BLUFF
State MO
Zip 63901-3396

Physicians in the same location

Name Specialty Organization Address
Phyllis Eason Psychiatry Poplar Bluff Hma Physician Management, LLC 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396
Lili Kelly Psychiatry Poplar Bluff Hma Physician Management, LLC 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396
Carl R Jenson Radiation Oncology Poplar Bluff Hma Physician Management, LLC 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396
Shabbir H Safdar Hematology/oncology Poplar Bluff Hma Physician Management, LLC 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396
Richard H Matthews Radiation Oncology Poplar Bluff Hma Physician Management, LLC 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396

Physicians in the same zip code

Name Specialty Organization Address
Alicia Marie Cisne Nurse Practitioner Poplar Bluff Emergency Physicians, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Savannah Coin Nurse Practitioner Poplar Bluff Emergency Physicians, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Hanumanth K Reddy Cardiovascular Disease (cardiology) Poplar Bluff Hma Physician Management, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Alexandros Georgolios Otolaryngology Poplar Bluff Hma Physician Management, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Michael J. Del Rio Thoracic Surgery Poplar Bluff Hma Physician Management, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Perry Arthur Rathbun Certified Registered Nurse Anesthetist (crna) Clinical Colleagues Inc 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Silvia Pagoada Vallecillo General Surgery Butler Physician Services, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Mark W Clark Certified Registered Nurse Anesthetist (crna) Poplar Bluff Hma Physician Management, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
James D Holden Certified Registered Nurse Anesthetist (crna) Clinical Colleagues Inc 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Timothy P Kordick Certified Registered Nurse Anesthetist (crna) Clinical Colleagues Inc 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Find all physicians in zip 63901

Competitor

Search similar physicians

City POPLAR BLUFF
Zip Code 63901
Specialty PATHOLOGY
City + Specialty POPLAR BLUFF + PATHOLOGY

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Dataset Information

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.

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