Individual
MARTIN JOHANN PONTASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
190 HOSPITAL DR, HIGHLANDS, NC 28741-7600
(828) 526-1200
(828) 526-1230
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
(828) 526-1280
(828) 526-1285
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
35058998P
OH
207P00000X
Emergency Medicine Physician
Primary
036170623
IL
207P00000X
Emergency Medicine Physician
2015-01079
NC
208D00000X
General Practice Physician
ME100079
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000344358
ANTHEM
—
05
—
0874406
—
OH
01
—
NCS251A
MEDICARE PTAN
NC
01
—
NCS251A194
MEDICARE PTAN
NC
01
—
NCS251B
MEDICARE PTAN
NC
Enumeration date
10/05/2006
Last updated
06/27/2024
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