IndividualActive
Jimmy Ponder, MD
NPI 1689644874 · Interventional Pain Medicine Physician · Gray, LA
Provider details
- NPI number
- 1689644874
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 020658 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
123 Frontage a Rd
Gray, LA 70359-6301
Phone: (985) 580-1200
Fax: (985) 580-1218
Approximate (ZIP-level) locationGet directions
Mailing address
123 Frontage a Rd
Gray, LA 70359-6301
Registry dates
- Enumerated
- 2006-01-23
- Last updated
- 2010-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.