SUSAN B. PONCY, MD PA (NPI# 1518183185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518183185 |
| Entity Type | Organization |
| Organization Name | SUSAN B. PONCY, MD PA |
| Practice Address |
601 University Blvd Suite 201 Jupiter FL 33458 |
| Mailing Address |
Po Box 7240 Jupiter FL 33468-7240 |
| Practice Telephone | 5616272727 |
| Practice Fax Number | 5616274327 |
| Mailing Telephone | 5617482889 |
| Mailing Fax Number | 5617481523 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KAREN BARLOW (OWNER BILLING COMPANY) |
| Authorized Official Telephone | 5617482889 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME80003 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
601 UNIVERSITY BLVD SUITE 201 |
| City | JUPITER |
| State | FL |
| Zip Code | 33458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336128107 | Saluja R Goldman | Internal Medicine | 601 University Blvd, Suite 105, Jupiter, FL 33458-2788 | 2006-01-11 |
| 1487178067 | Natalie Sanaty-nya | Nurse Practitioner | 601 University Blvd, Ste 204, Jupiter, FL 33458-2788 | 2017-07-26 |
| 1194270132 | Linda M Pao Md Pa | Psychiatry & Neurology | 601 University Blvd, Suite 102, Jupiter, FL 33458-2788 | 2016-08-19 |
| 1447621164 | Primary Care Services of Jupiter Medical Specialists, LLC | Family Medicine | 601 University Blvd, Suite 206, Jupiter, FL 33458-2788 | 2015-10-08 |
| 1487069639 | The Medical Group of South Florida, Inc. | Chiropractor | 601 University Blvd, Suite 104, Jupiter, FL 33458 | 2014-06-26 |
| 1508127077 | Nicole Norris | Nurse Practitioner | 601 University Blvd, Jupiter, FL 33458-2788 | 2012-05-31 |
| 1033412093 | Hodge Florida Orthopedics LLC | Orthopaedic Surgery | 601 University Blvd, Suite 104, Jupiter, FL 33458-2788 | 2010-12-14 |
| 1669798567 | Mcm Physician Services, LLC | Hospitalist | 601 University Blvd, Suite 206, Jupiter, FL 33458-2788 | 2010-04-16 |
| 1831425305 | Medical Consultants Management, LLC | Internal Medicine | 601 University Blvd, Suite 206, Jupiter, FL 33458-2788 | 2009-10-19 |
| 1023342268 | Tenet Florida Physician Services, LLC | Otolaryngology | 601 University Blvd, Ste 208, Jupiter, FL 33458-2788 | 2009-09-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
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| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174749147 | Barry M. Miskin, Md Pa | General Practice | 1002 Old Dixie Highway, Suite 304, Jupiter, FL 33458 | 2007-04-18 |
| 1447633763 | Shannon Lorraine Milam | General Practice | 1002 S Old Dixie Hwy Ste 201, Jupiter, FL 33458-7202 | 2015-07-06 |
| 1609293646 | David Francis Capaldi | General Practice | 401 Maplewood Dr, Jupiter, FL 33458-5849 | 2014-03-27 |
| 1093158230 | Drug Free Pain Center LLC | General Practice | 224 Chimney Corner Ln, 1026, Jupiter, FL 33458-4800 | 2013-04-08 |
| 1609092048 | Michael Z Kalter M D M S P A | General Practice | 1004 S Old Dixie Hwy, Suite 302, Jupiter, FL 33458-7200 | 2007-04-17 |
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| 1376140772 | Amy Wrenn | General Practice | 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 | 2020-10-08 |
| 1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
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| 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.