| Richard G Ponder, CRNA | |
|
1 Hospital Dr, Columbia, MO 65201-5276 | |
| (573) 882-2568 | |
| (573) 882-2226 |
| Full Name | Richard G Ponder |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 1 Hospital Dr, Columbia, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366460750 | NPI | - | NPPES |
| 917558009 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2005009495 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anderson Hospital | Maryville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| G And G Anesthesia Llc | 4981912607 | 92 |
| Entity Name | Ambulatory Surgery Center of Centralia, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265495824 PECOS PAC ID: 1254343007 Enrollment ID: O20060620000082 |
| Entity Name | G & G Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487020111 PECOS PAC ID: 4981912607 Enrollment ID: O20150930000831 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard G Ponder, CRNA Po Box 7687, Columbia, MO 65205-7687 Ph: (573) 882-2568 | Richard G Ponder, CRNA 1 Hospital Dr, Columbia, MO 65201-5276 Ph: (573) 882-2568 |
Kari A Mylenbusch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 855-903-0985 |
Mrs. Megan Elaine Hilderbrand, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 855-903-0985 |
Melissa Grcic-jacobelli, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 573-882-2226 |
Latoshia E Donald, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 855-903-0985 |
Allyson J Ihms, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 210 Portland St Ste 100, Columbia, MO 65201 Phone: 573-777-8818 Fax: 573-777-8819 |
Zebulon E Thomeczek, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 573-882-2226 |
Matthew Ryan Nanney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 855-903-0985 |