DR. MICHELLE M PONDER (NPI# 1447399415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447399415 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE M PONDER |
| Credential | M.D. |
| Practice Address |
4500 S Garnett Rd Ste 300 Tulsa OK 74146-5238 |
| Mailing Address |
3013 Lamond Hill Ave Edmond OK 73034-6980 |
| Practice Telephone | 9189353550 |
| Mailing Telephone | 4053619042 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2019-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
22883 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200130260A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114423704 | Michelle Ponder | Student in an Organized Health Care Education/Training Program | 22 S Greene St Rm N3e09, Baltimore, MD 21201-1544 | 2018-04-02 |
| Street Address |
4500 S GARNETT RD STE 300 |
| City | TULSA |
| State | OK |
| Zip Code | 74146-5238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679549166 | Ronald Allan Stillerman | Radiology | 4500 S Garnett Rd Ste 300, Tulsa, OK 74146-5238 | 2006-02-24 |
| 1912343435 | Natosha Monfore | Radiology | 4500 S Garnett Rd Ste 300, Tulsa, OK 74146-5238 | 2013-05-13 |
| 1962768341 | Michael John Walters | Radiology | 4500 S Garnett Rd Ste 300, Tulsa, OK 74146-5238 | 2012-04-10 |
| 1326346875 | Peter James Mostert | Radiology | 4500 S Garnett Rd Ste 300, Tulsa, OK 74146-5238 | 2011-03-08 |
| 1063710580 | Kyle Griffin Flowers | Radiology | 4500 S Garnett Rd Ste 300, Tulsa, OK 74146-5238 | 2011-03-08 |
| 1558679035 | Brooke White | Radiology | 4500 S Garnett Rd Ste 300, Tulsa, OK 74146-5238 | 2010-09-19 |
| 1487968756 | Nicholas Bull | Radiology | 4500 S Garnett Rd Ste 300, Tulsa, OK 74146-5238 | 2010-07-29 |
| 1306089578 | James Pham | Radiology | 4500 S Garnett Rd Ste 300, Tulsa, OK 74146-5238 | 2009-04-16 |
| 1053551721 | Bo Yon Choi | Radiology | 4500 S Garnett Rd Ste 300, Tulsa, OK 74146-5238 | 2009-02-20 |
| 1639315260 | Jonathon Dale Kirkland | Radiology | 4500 S Garnett Rd Ste 300, Tulsa, OK 74146-5238 | 2009-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
| 1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
| 1184158404 | Alexis Lauren Allen | Case Manager/Care Coordinator | 9820 E 41st St #400, Tulsa, OK 74146 | 2017-04-13 |
| 1578995908 | Adrian Gheorghe Butuc | Massage Therapist | 5635 S Mingo #b, Tulsa, OK 74146 | 2013-08-08 |
| 1336587088 | Tulsa Cancer Institute, Pllc | Obstetrics & Gynecology | 12697 E. 51st St. South, Tulsa, OK 74146 | 2013-06-04 |
| 1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
| 1619232972 | Diagnostic Imaging Associates | General Acute Care Hospital | 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 | 2012-07-11 |
| 1790046654 | Aundra Lamar Fuller | Behavioral Analyst | 10922 E. 39th St., Tulsa, OK 74146 | 2012-06-06 |
| 1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
| 1922307958 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5115 S. 122nd East Ave., Suite 204, Tulsa, OK 74146 | 2011-03-16 |
| Find all providers in zip 74146 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442292 | Direct Medical Imaging LLC | Radiology | 5711 E 71st St Ste 100, Tulsa, OK 74136-6655 | 2020-06-24 |
| 1386933737 | Robert A Skib Md Pllc | Radiology | 305 S Kenosha Ave, Tulsa, OK 74120-2430 | 2011-04-06 |
| 1639302060 | Stephen Arthur Back | Radiology | 744 W. 9th St., Tulsa, OK 74127 | 2009-09-02 |
| 1427243641 | American Radiology Consultants Pllc | Radiology | 10537 S 92nd East Circle, Tulsa, OK 74133 | 2007-09-11 |
| 1215136361 | Colby James Coulson | Radiology | 7718 E 91st St Ste 220, Tulsa, OK 74133-6064 | 2007-07-17 |
| 1083738199 | Us Radiology Partners of Texas Inc | Radiology | 6129 S Louisville Ave, Tulsa, OK 74136-1502 | 2007-03-16 |
| 1841321668 | George Kamp | Radiology | 6422 S. Indianapolis Place, Tulsa, OK 74136-1421 | 2007-03-07 |
| 1326107624 | James R Webb Jr Md PC | Radiology | 6550 E. 71st Street, Suite 200, Tulsa, OK 74133-2773 | 2006-12-06 |
| 1972675817 | Richard Bliss Williams | Radiology | 2608 E 74th St, Tulsa, OK 74136-5557 | 2006-11-15 |
| 1669405023 | John Edward Kauth | Radiology | 2448 E Admiral Blvd, Tulsa, OK 74110-5323 | 2006-07-09 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on DR. MICHELLE M PONDER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.