Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mario Natale Ponticello, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1134395734

Mario Natale Ponticello, DPM is a Foot & Ankle Surgery Podiatrist in Tacoma, Washington. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in
WI
In the registry since
2008
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

9040 Jackson Ave
Tacoma, WA 98431-0001
Phone: (253) 968-3505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 950-25 (WI)

Record details

NPI number1134395734
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 3, 2008
Last updated in NPPESJanuary 5, 2024
Certification dateJanuary 5, 2024

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