Active NPI 1205832706 Individual Practitioner Male Practitioner

Dr. Stephen Henry Ponas , MD

Urology • Phoenix, AZ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Ponas, MD is a certified Urology practicing in Phoenix, AZ. With approximately 38 years of clinical experience since completing medical education in 1988, Dr. Ponas delivers high-quality medical care to the local community at 5133 N CENTRAL AVE STE 206.

Dr. Ponas maintains professional affiliations with Arizona Oncology Associates Pc, Honorhealth Ambulatory and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include urinalysis, manual test, leuprolide injectable, camcevi, 1 mg, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5133 N Central Ave Ste 206

Phoenix, AZ 850121438

Telephone 6022640608

Fax 6022340417

Associated Practice Facility / Clinic

🏢 Affiliated Urology Call Llc Facility NPI 1902652779

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Phoenix, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +12.2 yrs vs City Avg

City Avg: 25.8 Yrs

State Avg: 29.5 Yrs

Regional Practice Density

68 Specialists

Practicing in Phoenix, AZ (295 Statewide)

Telehealth Adoption Rate

32.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

71.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ponas (38 Years) 38 Yrs

Phoenix Specialty Average (25.8 Years) 25.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	660	454	$15.00	$3.38
J1952 Leuprolide injectable, camcevi, 1 mg	630	14	$271.80	$55.27
51798 Ultrasound measurement of bladder capacity after voiding	584	422	$91.00	$10.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	538	394	$217.00	$122.74
99213 Established patient office or other outpatient visit, typically 15 minutes	269	229	$144.00	$87.44
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	263	208	$35.00	$15.77
52000 Diagnostic exam of bladder and urethra using an endoscope	94	72	$645.00	$224.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$333.00	$159.85
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	59	31	$90.00	$13.60
76872 Ultrasound scan of pelvic region through rectum	40	39	$405.00	$129.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$213.00	$107.61
51700 Simple bladder irrigation and/or instillation	34	26	$232.00	$71.39
51702 Simple insertion of temporary bladder tube	28	13	$323.00	$59.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$95.00	$53.25
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	23	23	$872.00	$337.18
J3260 Injection, tobramycin sulfate, up to 80 mg	20	17	$5.75	$2.29
55700 Biopsy of prostate gland	19	19	$709.00	$220.20
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	18	$598.00	$52.97
51741 Electronic assessment of bladder emptying	13	13	$261.00	$6.88
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	12	12	$588.00	$30.97
76770 Complete ultrasound scan behind abdominal cavity	11	11	$350.00	$104.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	624	380	$15.00	$3.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	584	356	$217.00	$120.18
51798 Ultrasound measurement of bladder capacity after voiding	414	299	$91.00	$10.21
99213 Established patient office or other outpatient visit, typically 15 minutes	173	145	$144.00	$83.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	113	113	$333.00	$161.46
52000 Diagnostic exam of bladder and urethra using an endoscope	84	62	$645.00	$227.62
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	25	$90.00	$13.66
76872 Ultrasound scan of pelvic region through rectum	33	32	$405.00	$132.41
51700 Simple bladder irrigation and/or instillation	28	22	$232.00	$69.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$288.00	$126.08
51741 Electronic assessment of bladder emptying	25	17	$261.00	$13.05
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	22	22	$598.00	$56.52
55700 Biopsy of prostate gland	22	22	$709.00	$233.54
J3260 Injection, tobramycin sulfate, up to 80 mg	21	21	$5.00	$2.53
74420 Imaging of urinary tract	16	12	$88.94	$23.68
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	11	$2169.00	$119.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$213.00	$108.53
52344 Endoscope of the bladder, urethra and ureter to treat a stricture of ureter	13	12	$1226.00	$202.45
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	12	$1272.00	$395.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87798 Detection test for organism	819	53	$156.00	$34.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	677	376	$217.00	$121.92
81002 Urinalysis, manual test	615	354	$15.00	$3.42
51798 Ultrasound measurement of bladder capacity after voiding	286	212	$91.00	$9.95
87481 Detection test for candida species (yeast), amplified probe technique	189	53	$123.00	$34.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	138	138	$333.00	$161.55
51741 Electronic assessment of bladder emptying	102	21	$261.00	$13.42
52000 Diagnostic exam of bladder and urethra using an endoscope	98	72	$645.00	$238.09
87563 Detection of mycoplasma genitalium by dna or rna probe	63	53	$123.00	$34.62
87653 Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique	63	53	$123.00	$34.62
87651 Detection test for Strep (Streptococcus, group A)	63	53	$123.00	$34.62
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique	63	53	$149.00	$34.62
87556 Detection test for mycobacteria tuberculosis (tb bacteria)	63	53	$45.00	$41.12
99213 Established patient office or other outpatient visit, typically 15 minutes	52	37	$144.00	$87.59
87500 Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique	43	34	$172.00	$34.62
76872 Ultrasound scan of pelvic region through rectum	40	39	$405.00	$129.87
51700 Simple bladder irrigation and/or instillation	29	23	$232.00	$67.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	27	$90.00	$13.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$288.00	$130.88
55700 Biopsy of prostate gland	25	25	$709.00	$206.88
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	25	25	$598.00	$52.42
J3260 Injection, tobramycin sulfate, up to 80 mg	21	21	$5.00	$2.59
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	18	$2203.43	$106.76
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	21	21	$620.00	$316.68
74420 Imaging of urinary tract	14	12	$57.00	$24.24
52344 Endoscope of the bladder, urethra and ureter to treat a stricture of ureter	13	11	$1226.00	$248.16
76770 Complete ultrasound scan behind abdominal cavity	13	13	$350.00	$107.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$213.00	$109.48
50590 Shock wave crushing of kidney stones	11	11	$3435.00	$555.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	553	333	$15.00	$3.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	552	328	$217.00	$126.91
51798 Ultrasound measurement of bladder capacity after voiding	210	157	$91.00	$9.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	129	129	$333.00	$165.29
51741 Electronic assessment of bladder emptying	112	37	$261.00	$13.62
52000 Diagnostic exam of bladder and urethra using an endoscope	98	77	$645.00	$227.82
99213 Established patient office or other outpatient visit, typically 15 minutes	85	72	$144.00	$89.83
G9678 Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a	83	13	$160.00	$160.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	44	$288.00	$133.19
76872 Ultrasound scan of pelvic region through rectum	30	28	$395.43	$133.01
51700 Simple bladder irrigation and/or instillation	26	22	$232.00	$77.72
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	23	$90.00	$13.86
51702 Simple insertion of temporary bladder tube	21	12	$323.00	$62.74
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	15	$2130.95	$103.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$213.00	$110.42
55700 Biopsy of prostate gland	18	18	$709.00	$247.25
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	18	$598.00	$57.06
76770 Complete ultrasound scan behind abdominal cavity	15	15	$350.00	$110.61
50590 Shock wave crushing of kidney stones	15	14	$3435.00	$564.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$152.00	$70.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	11	$292.00	$178.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	524	286	$217.00	$107.61
81002 Urinalysis, manual test	429	263	$15.00	$3.41
51798 Ultrasound measurement of bladder capacity after voiding	184	126	$91.00	$10.06
51741 Electronic assessment of bladder emptying	137	59	$261.00	$14.16
52000 Diagnostic exam of bladder and urethra using an endoscope	92	73	$645.00	$204.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$333.00	$162.18
99213 Established patient office or other outpatient visit, typically 15 minutes	81	74	$144.00	$73.76
76872 Ultrasound scan of pelvic region through rectum	39	38	$405.00	$141.89
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	31	24	$90.00	$14.08
51702 Simple insertion of temporary bladder tube	28	11	$323.00	$61.02
51700 Simple bladder irrigation and/or instillation	24	18	$232.00	$74.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$288.00	$137.83
55700 Biopsy of prostate gland	19	19	$709.00	$248.45
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	18	$598.00	$56.97
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$620.00	$291.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$213.00	$106.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	577	323	$217.00	$107.07
81002 Urinalysis, manual test	561	309	$15.00	$3.39
51798 Ultrasound measurement of bladder capacity after voiding	232	144	$91.00	$12.45
52000 Diagnostic exam of bladder and urethra using an endoscope	114	86	$645.00	$181.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	105	105	$333.00	$162.39
51741 Electronic assessment of bladder emptying	86	69	$261.00	$12.99
99213 Established patient office or other outpatient visit, typically 15 minutes	75	62	$144.00	$73.73
76872 Ultrasound scan of pelvic region through rectum	53	52	$405.00	$122.85
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	41	12	$2932.00	$54.98
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	28	$90.00	$16.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	36	$288.00	$136.62
55700 Biopsy of prostate gland	26	25	$709.00	$250.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$213.00	$107.42
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	25	13	$68.00	$22.50
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	24	23	$598.00	$56.76
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	19	19	$620.00	$269.80
J1580 Injection, garamycin, gentamicin, up to 80 mg	18	13	$5.00	$1.74
51700 Simple bladder irrigation and/or instillation	17	12	$232.00	$70.06
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	15	$1928.00	$111.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	13	$152.00	$72.60
76775 Limited ultrasound scan behind abdominal cavity	15	15	$332.00	$58.08
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	12	12	$3774.00	$215.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	540	334	$15.00	$3.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	386	253	$217.00	$105.14
51798 Ultrasound measurement of bladder capacity after voiding	215	134	$91.00	$15.39
99213 Established patient office or other outpatient visit, typically 15 minutes	211	178	$144.00	$71.75
52000 Diagnostic exam of bladder and urethra using an endoscope	89	76	$645.00	$158.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$333.00	$158.18
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	78	24	$90.00	$20.09
51741 Electronic assessment of bladder emptying	75	58	$261.00	$14.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$213.00	$106.09
76872 Ultrasound scan of pelvic region through rectum	38	38	$405.00	$95.14
J1580 Injection, garamycin, gentamicin, up to 80 mg	33	18	$5.00	$1.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$288.00	$135.02
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	24	15	$68.00	$21.13
55700 Biopsy of prostate gland	22	22	$709.00	$246.90
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	22	22	$598.00	$58.95
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	19	$2278.55	$125.74
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$208.00	$99.98
76775 Limited ultrasound scan behind abdominal cavity	17	15	$332.00	$57.15
52356 Crushing of stone of ureter with insertion of stent using an endoscope	17	13	$1272.00	$320.35
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	16	$620.00	$243.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	586	327	$15.00	$3.41
99213 Established patient office or other outpatient visit, typically 15 minutes	325	242	$144.00	$71.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	245	170	$217.00	$105.38
51798 Ultrasound measurement of bladder capacity after voiding	191	125	$91.00	$18.81
52000 Diagnostic exam of bladder and urethra using an endoscope	91	77	$645.00	$161.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$213.00	$105.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$333.00	$159.64
51741 Electronic assessment of bladder emptying	58	44	$261.00	$13.38
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	53	30	$90.00	$24.65
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	52	22	$68.00	$19.91
51702 Simple insertion of temporary bladder tube	37	11	$323.00	$62.41
76872 Ultrasound scan of pelvic region through rectum	35	35	$405.00	$92.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$288.00	$135.10
J1580 Injection, garamycin, gentamicin, up to 80 mg	23	21	$5.00	$1.51
55700 Biopsy of prostate gland	21	21	$709.00	$245.78
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	21	$598.00	$59.69
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$208.00	$100.01
76000 Imaging guidance for procedure, 60 minutes or less	13	12	$26.00	$8.70

Medical Specialties & State Licenses

CMS Verified: 2022-03-18

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License AZ 22477

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

167008 (AZ)

Hospital & Practice Group Affiliations

Honorhealth Ambulatory

9003 E Shea Blvd, Scottsdale, AZ 852606709

Phone: 4803234973

Honorhealth Ambulatory

19636 N 27th Ave, Phoenix, AZ 850274015

Phone: 6235164400

Honorhealth Ambulatory

5133 N Central Ave, Phoenix, AZ 850121438

Phone: 6022640608

Honorhealth Ambulatory

7400 E Osborn Rd, Scottsdale, AZ 852516432

Phone: 4808826700

Honorhealth Ambulatory

20940 N Tatum Blvd, Phoenix, AZ 850507243

Phone: 6022640608

Arizona Oncology Associates Pc

5133 N Central Ave, Phoenix, AZ 850121438

Phone: 6022640608

Honorhealth Ambulatory

7400 E Thompson Peak Pkwy, Scottsdale, AZ 852554109

Phone: 4803247000

Honorhealth Ambulatory

9003 E Shea Blvd, Scottsdale, AZ 852606709

Phone: 4803233000

Honorhealth Ambulatory

250 E Dunlap Ave, Phoenix, AZ 850202825

Phone: 6029432381

Honorhealth Ambulatory

10510 N 92nd St, Scottsdale, AZ 852584566

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners

Dr. Ryan Powers , DO

Urology

NPI 1104206309

Doctor of Osteopathic Medicine (D.O.)

Dr. Farzana Faisal , MD

Urology

NPI 1174865810

Doctor of Medicine (M.D.)

Vivian Toma , PA-C

Physician Assistant

NPI 1306237342

Physician Assistant (Certified)

Dr. Daniel Jaffee , MD

Urology

NPI 1356346878

Doctor of Medicine (M.D.)

Dr. Daniel Cooper , MD

Urology

NPI 1376595934

Doctor of Medicine (M.D.)

Dr. Ali Borhan , MD

Urology

NPI 1518963024

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location March 18, 2022

Registered at 5133 N CENTRAL AVE STE 206, PHOENIX, AZ 850121438 (Tel: 6022640608)

📍

Updated Business Mailing Address March 18, 2022

Registered at PO BOX 910221, DALLAS, TX 753910221 (Tel: 5205197700)

✅

NPI Profile Active March 16, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location March 16, 2018

Registered at 3330 N 2ND ST, STE 601, PHOENIX, AZ 850122368 (Tel: 6022640608)

📍

Updated Business Mailing Address March 16, 2018

Registered at 1760 E RIVER RD STE 350, TUCSON, AZ 857185999 (Tel: 5205197775)

👤

Provider Name / Credentials Updated March 16, 2018

Recorded as STEPHEN PONAS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2018

Urology (License #22477 in AZ)

✅

NPI Profile Active July 21, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 21, 2014

Registered at 3330 N 2ND ST, STE 601, PHOENIX, AZ 850122368 (Tel: 6022640608)

📍

Updated Business Mailing Address July 21, 2014

Registered at 3330 N 2ND ST, STE 601, PHOENIX, AZ 850122368 (Tel: 6022640608)

👤

Provider Name / Credentials Updated July 21, 2014

Recorded as STEPHEN PONAS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2014

Urology (License #22477 in AZ)

🟢

Initial NPI Registration & Enumeration June 21, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1205832706

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 21, 2005

Last Update: March 18, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 910221

Dallas, TX 753910221

Phone: 5205197700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.