AMY POND


Address: 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845
Phone: 2602668900

AMY POND (NPI# 1710387121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710387121
Entity Type Individual
Full Name AMY POND
Credential PA
Practice Address 11141 Parkview Plaza Dr Ste 305
Fort Wayne
IN 46845
Mailing Address 3702 New Vision Dr Bldg B
Fort Wayne
IN 46845-1703
Practice Telephone 2602668900
Practice Fax Number 2602668935
Enumeration Date 2014-09-04
Last Update Date 2018-11-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 10001828A IN Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant PA11421 TX Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant 004085 OH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX MEDICAID GRP PRACTICE TPI # 153449704 01
TX BCBSTX GRP PRACTICE RECORD # 0035TD 01
TX MEDICARE GRP PTAN # 00106W 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
17520 W Grand Pkwy S Ste 450, Sugar Land, TX 774794758 2816337800 2816337815
23920 Katy Fwy Ste 240, Katy, TX 774940881 2816648881 2816448879

Other Providers AMY POND

NPI Name Taxonomy Address Enumeration
1659712040 Amy Louise Pond Pharmacist 9601 S Tacoma Way, Suite 105,106, Lakewood, WA 98499-4421 2013-07-12

Office Location

Street Address 11141 PARKVIEW PLAZA DR STE 305
City FORT WAYNE
State IN
Zip Code 46845

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194726950 Raymond A. Cava Surgery 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 2005-08-02
1497361927 Amanda Renee Macias Registered Nurse 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 2020-09-21
1093278509 Julianne E. Hunter Registered Nurse 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 2019-04-11
1235699521 Danielle M Kammer Registered Nurse 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 2019-03-22
1467944892 Megan Weber Registered Nurse 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845 2018-06-01
1346614138 Nicole B Shaw Nurse Practitioner 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 2015-11-17
1396022489 Matthew Pfister Surgery 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 2011-11-03
1770866808 Megan E. Goetz Nurse Practitioner 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845 2011-09-26
1841581931 Sarah Yue Wang Internal Medicine 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 2011-04-25
1770801193 Kristin Danielle Hummel Surgery 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 2010-05-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881154110 Nancy Jean Ehmke Clinical Nurse Specialist 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 2019-03-22
1043703903 Kara Stackhouse Nurse Practitioner 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 2018-06-14
1871082412 Tara K Jellison Pharmacist 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 2018-05-09
1578097572 Forefront Dermatology, S.c. Dermatology 4020 New Vision Drive, Fort Wayne, IN 46845 2017-04-17
1811437999 Jessica Ann Lefever Behavioral Analyst 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 2017-03-08
1033668041 Bhi Home Care, Inc. In Home Supportive Care 820 Mill Lake Road, Fort Wayne, IN 46845 2016-10-03
1467814939 Austin Wyss Specialist/Technologist 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 2016-03-24
1154713584 Ashley Whitcraft Specialist/Technologist 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 2015-02-23
1275975682 Lakshmi Mohan Viji Das Internal Medicine 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 2013-07-26
1336482496 Mithun Mohana Shenoi Colon & Rectal Surgery 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 2013-03-27
Find all providers in zip 46845

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104438944 Erin R Griffin Physician Assistant 5621 Woodshire Dr Apt 5, Fort Wayne, IN 46835-2959 2020-08-22
1821608209 Rebecca Coker Physician Assistant 5137 Truemper Way Apt 5, Fort Wayne, IN 46835-3252 2020-07-31
1114536844 Amanda Kohl Physician Assistant 5429 River Run Trl # 5, Fort Wayne, IN 46825-6039 2020-07-29
1538778352 Kiersten Michelle Coatney Physician Assistant 3924 Taylor Rd Apt 65, Fort Wayne, IN 46804-1945 2020-07-28
1013366905 Brianna Abbott Physician Assistant 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 2016-06-10
1972890093 Megan Bearman Physician Assistant 3640 New Vision Dr, Suite A, Fort Wayne, IN 46845-1717 2011-07-10
1114211729 Joel A Ruetz Physician Assistant 7619 W Jefferson Blvd, Fort Wayne, IN 46804-4133 2011-06-01
1568617256 Parkview Health System Inc Physician Assistant 11104 Parkview Circle Dr Ste 320, Fort Wayne, IN 46845-1733 2008-11-21
1841441805 Brooke B Kutka Physician Assistant 2512 East Dupont Rd, Suite 200, Fort Wayne, IN 46825-1609 2008-10-08
1265688808 Kali E Veness Physician Assistant 2930 Lake Ave, Fort Wayne, IN 46805-5416 2008-08-14
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46845

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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