National Provider Identifier Database

AMY M POND, PA – NPI #1710387121
Physician Assistant

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.


Contact Information

AMY M POND, PA
11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN46845
Phone: 260-266-8900
Fax: 260-266-8935
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for AMY M POND

NPI Number 1710387121
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 09/04/2014
Last updated 11/30/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • IN License #: 10001828A
  • OH License #: 004085
  • TX License #: PA11421
  • TX Other: 0035TD BCBSTX GRP PRACTICE RECORD #
  • TX Other: 153449704 MEDICAID GRP PRACTICE TPI #
  • TX Other: 00106W MEDICARE GRP PTAN #
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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