AIDA B. PONCE M.D. NPI 1598714396

NPI Information

NPI: 1598714396
Provider Name: AIDA B. PONCE, M.D.
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

PECOS Registration: Yes

Address:
144 N FROST DR
SUITE 4
SAGINAW, MI
ZIP 48638
Phone: (989) 790-7665
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Aida B. Ponce, M.D. is an adolescent medicine pediatrics in Saginaw, MI. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Aida B. Ponce, M.D. NPI is 1598714396. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

144 N FROST DR
SUITE 4
SAGINAW, MI
ZIP 48638-186
Phone: (989) 790-7665
Fax: (989) 790-9147

The NPI 1598714396 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 5/9/2006 and was last updated on 3/31/2021.

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	2080A0000X	Pediatrics	Adolescent Medicine	ABP040553	MICHIGAN	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1587050	MEDICAID	MICHIGAN
2	P60002	OTHER	MICHIGAN	BLUE CARE NETWORK ID#
3	3507333702	OTHER	MICHIGAN	BLUE CROSS ID#
4	0400553	OTHER	MICHIGAN	HEALTH PLUS ID #

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: 4/28/2024

NPI Synchronization or Removal

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