Jerome Vincent Ponder (NPI# 1659332369, PAC ID# 4183694557) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1659332369 |
| PAC ID by PECOS | 4183694557 |
| Professional Enrollment ID | I20040731000194 |
| Full Name | Jerome Vincent Ponder |
| Address |
413 Owen Dr Suite 101 Fayetteville NC 28304-3490 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1997 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340028 | CAPE FEAR VALLEY MEDICAL CENTER |
| 340008 | SCOTLAND MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1007 Cheraw St, Bennettsville, SC 29512-2422 | 8434798357 | SCOTLAND MEMORIAL HOSPITAL, INC |
| 1341 Walter Reed Rd, Fayetteville, NC 28304-4415 | 9106153500 | CUMBERLAND COUNTY HOSPITAL SYSTEM INC |
| 1638 Owen Dr, Fayetteville, NC 28304-3424 | CUMBERLAND COUNTY HOSPITAL SYSTEM INC | |
| 413 Owen Dr, Suite 101, Fayetteville, NC 28304-3490 | ||
| 105 Mcalpine Ln, Laurinburg, NC 28352-4637 | 9102773331 | SCOTLAND MEMORIAL HOSPITAL, INC |
| Street Address |
413 OWEN DR SUITE 101 |
| City | FAYETTEVILLE |
| State | NC |
| Zip | 28304-3490 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine M Kelly | Family Medicine | Medical Arts Family Practice Pa | 413 Owen Dr, Suite 201, Fayetteville, NC 28304-3490 |
| Cynthia M Norris | Family Medicine | Medical Arts Family Practice Pa | 413 Owen Dr, Suite 201, Fayetteville, NC 28304-3490 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachelle Kelly Porath | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Amir Sanii | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Abigail Michelle Weiskopf | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Cynthia Caskey Oberfelder | Diagnostic Radiology | Oroville Hospital | 2053 Loganberry Dr, Fayetteville, NC 28304-0804 |
| Frank C Snyder | Diagnostic Radiology | Oroville Hospital | 2053 Loganberry Dr, Fayetteville, NC 28304-0804 |
| Latondra Denise Stillwell Barker | Physician Assistant | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Cheryl J Fiser | Clinical Social Worker | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Amita S Shetty | Internal Medicine | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Yvonne W Lewis | Physician Assistant | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Sheila M Agustin | Nurse Practitioner | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Find all physicians in zip 28304 | |||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | FAYETTEVILLE + OBSTETRICS/GYNECOLOGY |
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| 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.