TYLER JORDAN POND (NPI# 1356844500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356844500 |
| Entity Type | Individual |
| Full Name | TYLER JORDAN POND |
| Credential | PA-C |
| Practice Address |
2705 E 17th St Ammon ID 83406-6601 |
| Practice Telephone | 2083467500 |
| Practice Fax Number | 2083467501 |
| Mailing Telephone | 2083467500 |
| Mailing Fax Number | 2083467501 |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-1590 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2705 E 17TH ST |
| City | AMMON |
| State | ID |
| Zip Code | 83406-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336273085 | Stephen A Denagy | Internal Medicine | 2705 E 17th St, Ammon, ID 83406-6601 | 2007-03-15 |
| 1043820996 | Sara Pinson | Counselor | 2705 E 17th St, Ammon, ID 83406-6601 | 2020-08-05 |
| 1043829062 | Siu Ling Chi | Counselor | 2705 E 17th St, Ammon, ID 83406-6601 | 2020-07-26 |
| 1790308823 | Alannah Nunez | Social Worker | 2705 E 17th St, Ammon, ID 83406-6601 | 2020-05-22 |
| 1952934580 | Leticia Marlen Ramos | Social Worker | 2705 E 17th St, Ammon, ID 83406-6601 | 2020-02-21 |
| 1245863935 | Kristina Joy Bischoff | Social Worker | 2705 E 17th St, Ammon, ID 83406-6601 | 2020-02-20 |
| 1174161608 | Michael Patrick Pressler | Social Worker | 2705 E 17th St, Ammon, ID 83406-6601 | 2019-12-16 |
| 1740827807 | Amanda E Sturgeon | Social Worker | 2705 E 17th St, Ammon, ID 83406-6601 | 2019-12-06 |
| 1326684507 | Kathryn Griggs | Social Worker | 2705 E 17th St, Ammon, ID 83406-6601 | 2019-11-21 |
| 1649816182 | Kevin Ryan Anderson | Social Worker | 2705 E 17th St, Ammon, ID 83406-6601 | 2019-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383929 | Cristina Leon, Do Pa | Pediatrics | Idaho Falls Pediatrics, 3067 Eagle Dr, Ammon, ID 83406 | 2020-07-13 |
| 1144783499 | Mountain States Diabetes Relief, LLC | Internal Medicine | 4573 E Majestic, Idaho Falls, ID 83406 | 2019-04-12 |
| 1447718853 | Root Cause Integrative Medicine LLC | Family Medicine | 1547 S Midway Ave, Suite B, Ammon, ID 83406 | 2019-03-05 |
| 1225379183 | Sterling Hospital LLC | General Acute Care Hospital | 5412 S. Rock House Cir, Idaho Falls, ID 83406 | 2013-03-01 |
| 1710236823 | Flower D. Aston | Dietitian, Registered | 300 Bridger Drive, Ammon, ID 83406 | 2012-09-05 |
| 1558658468 | Nathan Myers | Pharmacist | 1901 South 2500 East, Idaho Falls, ID 83406 | 2011-06-30 |
| 1760719934 | Snf Ammon Operating Company LLC. | Skilled Nursing Facility | 3909 South 25th East, Ammon, ID 83406 | 2009-11-10 |
| 1316192370 | A Childs Smile | Dentist | 3299 E. 17th Street, Ammon, ID 83406 | 2008-11-18 |
| 1992968804 | Brandon D Gordon | Dentist | 7186 Sage View Cr, Idaho Falls, ID 83406 | 2008-07-10 |
| 1891996526 | Help, Inc. | Community/Behavioral Health | 1465 Hoopes Ave, Idaho Falls, ID 83406 | 2007-05-30 |
| Find all providers in zip 83406 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174148696 | Colton Jason Randall | Physician Assistant | 3885 Orchard Cir, Ammon, ID 83406-4656 | 2020-06-10 |
| 1790233500 | Elizabeth Osterman | Physician Assistant | 3456 E 17th St Ste 125, Ammon, ID 83406-6759 | 2016-09-21 |
| 1396110169 | Jordan Neil Hale | Physician Assistant | 1547 Midway Dr Ste B, Ammon, ID 83406-6912 | 2015-12-04 |
| 1780194613 | Kolt Monte Piquet | Physician Assistant | 1675 Curlew Dr, Ammon, ID 83406-4850 | 2017-10-05 |
| 1710343686 | Jaclyn Brabec | Physician Assistant | 3040 E 17th St, Ammon, ID 83406-6760 | 2016-01-07 |
| 1902917966 | Jeffrey L. Thompson | Physician Assistant | 3456 E 17th St, Suite 125, Ammon, ID 83406-6757 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695792 | Chelsea Dylan Tennent | Physician Assistant | 1666 E Gentlewind St, Boise, ID 83706-5914 | 2020-10-05 |
| 1922615848 | Allison Cluff | Physician Assistant | 1320 Bennett Ave, Burley, ID 83318-2665 | 2020-09-24 |
| 1245846187 | Adam Baker | Physician Assistant | 271 Jefferson St, Blackfoot, ID 83221-1818 | 2020-09-16 |
| 1265045199 | Julia Claire Brodie | Physician Assistant | 2352 N Apple Ln, Pocatello, ID 83204-7231 | 2020-08-29 |
| 1326651035 | Jenna Marie Castillo | Physician Assistant | 150 Taft Ave, Pocatello, ID 83201-5140 | 2020-08-24 |
| 1871114553 | Samantha Tess Goodrich | Physician Assistant | 721 E Lenz St, Boise, ID 83712-7846 | 2020-05-04 |
| 1174164305 | Tessie Mari Mcinnally | Physician Assistant | 3015 E Magic View Dr # 115, Meridian, ID 83642-3743 | 2019-09-29 |
| 1013562305 | Brianna Suzanne Berg | Physician Assistant | 12535 N Fawn Ct, Hayden, ID 83835-8827 | 2019-08-05 |
| 1003376559 | Kodie Thomas | Physician Assistant | 2086 Picket Ln, Emmett, ID 83617-9104 | 2019-03-21 |
| 1689131005 | Aftin Jade Martens | Physician Assistant | 303 N Allumbaugh St, Boise, ID 83704-9208 | 2019-02-21 |
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| 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.