NPIMap

Individual provider Active NPI

Michael PM Pond, MD

  • Emergency Medicine Physician
  • Lake Placid, NY
National Provider Identifier
1962472514
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
158672 Issued in NY
Practice address
1927 Saranac Ave
Suite 100
Lake Placid, NY 12946-1112
Phone
(518) 523-7575
Fax
(518) 523-7577
NPI assigned
Jan 25, 2006
Last updated
Jul 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 158672 NY Primary

Addresses

Primary practice location

1927 Saranac Ave
Suite 100
Lake Placid, NY 12946-1112

Mailing address

1927 Saranac Ave
Suite 100
Lake Placid, NY 12946-1112
Phone (518) 523-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921001002 NY Practitioner - Emergency MedicinePractitioner - Internal Medicine 6709854367 Reassigns benefits to 1 organization
Receives reassigned benefits from 29 practitioners
Practice locations: Lake Placid, NY; Malone, NY; Massena, NY; Saranac Lake, NY

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
State University of New York at Buffalo School of Medicine, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

354 Broadway
Saranac Lake, NY 12983-1146
Phone (518) 897-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
158672NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Medical Pediatrics Current Accepting new patients
Mountain Medical Services PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michael.pond.1@1798.direct.athenahealth.com

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1962472514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 SARANAC AVE",
            "address_2": "SUITE 100",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461112",
            "telephone_number": "518-523-7575",
            "fax_number": "518-523-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 SARANAC AVE",
            "address_2": "SUITE 100",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461112",
            "telephone_number": "518-523-7575",
            "fax_number": "518-523-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POND",
        "first_name": "MICHAEL",
        "middle_name": "PM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "158672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Placid, NY

Sources for this page

Verify at the official NPI Registry.