Keith L Ponitz
MD | Pediatrics | Male
Keith L Ponitz, MD is a Cleveland, Ohio based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Keith L Ponitz is
11100 Euclid Ave, Cleveland, Ohio - 44106-1716. He can be contacted on phone at
216-844-7700.
Keith L Ponitz is a sole proprietor of his business.
NPI number (Unique professional ID) for Keith L Ponitz is
1467564914 which was assigned by NPPES on 31 Aug, 2006 and it was last updated on 18 Jul, 2013.
Keith L Ponitz license number is
35-065293 for Pediatrics (208000000X) in Ohio.
Keith L Ponitz is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Keith L Ponitz basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Keith L Ponitz |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Keith L Ponitz address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 11100 Euclid Ave
Cleveland, OH, 44106-1716
United States |
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| Phone Number : | 216-844-7700 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1467564914 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 31 Aug, 2006 |
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| Last Updated On : | 18 Jul, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Keith L Ponitz are as mentioned. Primary taxonomy code for Keith L Ponitz, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 35-065293 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Keith L Ponitz such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000221405 | Other | OH | UNISON |
| 1011566260001 | MEDICAID | PA | |
| 000000028325 | Other | OH | ANTHEM |
| 645544 | Other | OH | AETNA |
| 0929599 | MEDICAID | OH | |
| 200206600A | Other | OK | OK MEDICAID |
| 000000526090 | Other | OH | ANTHEM |
| 929599 | Other | OH | BCMH |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 24701 Euclid Ave, 3rd Floor
Euclid, OH, 44117-1714
United States |
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Business Location:
Patients can refer following map for directions to
Keith L Ponitz practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.