Provider Type Icon

DR. ROBERT DAVID PONDER M.D. NPI 1083609119


NPI Information

NPI: 1083609119
Provider Name: DR. ROBERT DAVID PONDER, M.D.
Classification: Allergy & Immunology - 207K00000X
Entity Type: Individual

CLIA Number: 44D0312671

Address:
801 N WEISGARBER RD
SUITE 200
KNOXVILLE, TN
ZIP 37909
Phone: (865) 584-8588
Get Directions

DR. Robert David Ponder, M.D. is an allergy immunology in Knoxville, TN. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. DR. Robert David Ponder, M.D. NPI is 1083609119. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

801 N WEISGARBER RD
SUITE 200
KNOXVILLE, TN
ZIP 37909-706
Phone: (865) 584-8588
Fax: (865) 584-3364

The CLIA number assigned to this NPI record is 44D0312671 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/14/2005 and was last updated on 2/24/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistMD24382TENNESSEENo
2207K00000XAllergy & Immunology24382TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13074180MEDICARE PINTENNESSEE
20352701MEDICARE PINKENTUCKY
33527OTHERKENTUCKYGROUP MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.