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

Pon Ti Cruise

Individual provider Family Medicine Physician · NPI 1770143141

Pon Ti Cruise is a Family Practice in Athens, Ohio. Graduated from Ohio University, College of Osteopathic Medicine in 2019, 7 years ago. Practices with Ohio Valley Physicians Inc, a 129-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio and Pennsylvania.

Years since qualifying
7
Trained at
Ohio University, College of Osteopathic Medicine
Licensed in
OH, PA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

55 Hospital Dr
Athens, OH 45701-2302
Phone: (740) 593-5991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 24 Doctors Ln Ste 202, Clarion, PA 16214-8574 — (814) 226-2500

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34.015970 (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence OT019100 (PA)

Record details

NPI number1770143141
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 18, 2019
Last updated in NPPESJuly 5, 2022
Certification dateJuly 5, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice Ohio Valley Physicians Inc — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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