MEDICARE: DR. NICK S. POMONIS D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	H0730	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225034168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICK S. POMONIS D.O.

Provider Business Mailing Address
First Line	:	PO BOX 669386
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75266-9386
Country	:	US
Telephone Number	:	877-896-6474
Fax Number	:	409-883-4440

Provider Business Practice Location Address
First Line	:	3306 RIDGEMONT DR
Second Line	:
City	:	ORANGE
State	:	TX
Zip	:	77630-4236
Country	:	US
Telephone Number	:	409-882-0995
Fax Number	:	409-883-4440

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	05/20/2024

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1083683098 — ORANGE FAMILY CLINIC
Practice Location Address:

3306 RIDGEMONT DR
ORANGE, TX
77630-4236

Practice Phone: 409-882-0995
Practice Fax: 409-883-4440

1568436731 — DR. AHMAD SHAMSIN M.D.
Practice Location Address:

731 DUNLAWTON AVE , SUITES 101 & 102
PORT ORANGE, FL
32127-4236

Practice Phone: 386-767-9585
Practice Fax: 386-767-9769

1124275888 — DR. PATRICK WILLIAMS D.M.D.
Practice Location Address:

731 DUNLAWTON AVE , STE. # 102
PORT ORANGE, FL
32127-4236

Practice Phone: 386-767-6636
Practice Fax: 386-767-5879

1346524337 — ATLANTIC CARDIOLOGY & MEDICAL SPECIALISTS, PA
Practice Location Address:

731 DUNLAWTON AVE , SUITES 101 & 102
PORT ORANGE, FL
32127-4236

Practice Phone: 386-767-9585
Practice Fax: 386-767-9769

1346170057 — CASEY GRANGER
Practice Location Address:

2761 SHEPPARD RD
ORANGE, TX
77630-1305

Practice Phone: 409-920-2389
Practice Fax:

Directions to “ DR. NICK S. POMONIS D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.