ROGER PONCHEK PA-C NPI 1255333019

NPI Information

NPI: 1255333019
Provider Name: ROGER PONCHEK, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
9104 BABCOCK BLVD
SUITE 2120
PITTSBURGH, PA
ZIP 15237
Phone: (412) 367-0600
Get Directions

Roger Ponchek, PA-C is a surgical physician assistant in Pittsburgh, PA. Roger Ponchek, PA-C NPI is 1255333019. 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:

9104 BABCOCK BLVD
SUITE 2120
PITTSBURGH, PA
ZIP 15237-818
Phone: (412) 367-0600
Fax: (412) 367-7079

The NPI 1255333019 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/11/2005 and was last updated on 5/24/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	MA002512L	PENNSYLVANIA	Yes

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

NPI Synchronization or Removal

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