Active NPI
Robin K Pond, M.M.S., PA-C
- Physician Assistant
- Crystal Lake, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085.004939
- Practice address
- 5911 Northwest Highway
Suite 205
Crystal Lake, IL 60014 - Phone
- (847) 515-2200
- Fax
- (847) 515-2328
- NPI assigned
- Jan 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085.004939 | IL | Primary |
Addresses
Primary practice location
5911 Northwest Highway
Suite 205
Crystal Lake, IL 60014
Mailing address
5911 Northwest Highway
Suite 205
Crystal Lake, IL 60014
Phone (847) 515-2200
Other names 1
- Robin K Danielson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Midwestern University College of Dental Medicine, Downers Grove, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2905 W Warner Rd
Suite 19
Chandler, AZ 85224-1674
Phone (480) 563-6400
9787 N 91St St
Suite 101
Scottsdale, AZ 85258-5088
Phone (480) 563-6400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.004939 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Pain Specialists, PLLC | Current | Accepting new patients | |
| Arizona Pain Specialists, PLLC | Current | Accepting new patients | |
| Adventist Health Partners,Inc | Past | Accepting new patients | |
| Physical Medicine of Chandler LLC | Past | Accepting new patients | |
| Adventist Health Partners, Inc | Past | Accepting new patients |
Locations
2905 W Warner Rd
Chandler, AZ 85224
Phone (480) 603-9000
2905 W Warner Rd
Ste 19
Chandler, AZ 85224
Phone (480) 899-2101
18555 N 79th Ave
Ste D101
Glendale, AZ 85308
Phone (480) 245-6169
13460 N 94th Dr
Peoria, AZ 85381
Phone (623) 223-1036
2340 W Parkside Ln
Ste H107
Phoenix, AZ 85027
Phone (480) 245-6008
9787 N 91st St
Ste 101
Scottsdale, AZ 85258
Phone (480) 845-0334
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1700030939
-
- Pain Medicine (Anesthesiology) Physician
- Denver, CO
- NPI 1245682970
-
- Family Medicine Physician
- Hinsdale, IL
- NPI 1952339939
-
- Family Medicine Physician
- Bloomingdale, IL
- NPI 1043255888
-
- General Practice Physician
- Chandler, AZ
- NPI 1801410535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436918400000",
"number": "1124449558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5911 NORTHWEST HIGHWAY",
"address_2": "SUITE 205",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "60014",
"telephone_number": "847-515-2200",
"fax_number": "847-515-2328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5911 NORTHWEST HIGHWAY",
"address_2": "SUITE 205",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "60014",
"telephone_number": "847-515-2200",
"fax_number": "847-515-2328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POND",
"first_name": "ROBIN",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "M.M.S., PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-03",
"last_updated": "2015-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.004939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBIN",
"last_name": "DANIELSON",
"middle_name": "K",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.