Individual
KEITH L PONITZ
Active
Individual
KEITH L PONITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-065293
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028325
ANTHEM
OH
01
—
000000221405
UNISON
OH
01
—
000000526090
ANTHEM
OH
05
—
0929599
—
OH
05
—
1011566260001
—
PA
01
—
200206600A
OK MEDICAID
OK
01
—
645544
AETNA
OH
01
—
929599
BCMH
OH
Enumeration date
08/31/2006
Last updated
07/18/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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