MICHAEL A. POND PAC
NPI 1104005503
Physician Assistant - Surgical in Salt Lake City, UT

Q: What is Michael Pond's NPI number?

The NPI number for Michael Pond is 1104005503. It was assigned to this individual provider in the NPPES registry on November 1, 2007.

Q: What is Michael Pond's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Michael Pond was last updated on November 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 01, 2007

FAIRFAX RD AT VIRGINIA ST, SALT LAKE CITY, UT 84103(801) 536-3600(801) 536-3686 Get Directions Write a Review

NPPES record last updated: November 1, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Michael A. Pond Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL A. POND PAC (NPI 1104005503) is an individual surgical provider in Salt Lake City, Utah, licensed in Utah (270563-1206) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1104005503

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMICHAEL A. PONDCredential: PAC

Location AddressFAIRFAX RD AT VIRGINIA STSalt Lake City, UT 84103-4399

Mailing AddressFairfax Rd At Virginia StSalt Lake City, UT 84103-4399 · (801) 536-3600 · Fax (801) 536-3686

Phone(801) 536-3600

Fax(801) 536-3686

Sole ProprietorNo

Enumeration DateNovember 1, 2007

✔ NPI 1104005503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in UT · 270563-1206

FAIRFAX RD AT VIRGINIA ST, Salt Lake City, UT 84103

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD HENRY GRISARD OTR/L;CO

Specialist

FAIRFAX RD AT VIRGINIA ST
SALT LAKE CITY, UT 84103

Salt Lake County (801) 536-3820

MR. MARK VINCENT LANGE MPT

Physical Therapist

FAIRFAX RD AT VIRGINIA ST
SLC, UT 84103

Salt Lake County (801) 536-3616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Pond's NPI number?

The NPI number for Michael Pond is 1104005503. It was assigned to this individual provider in the NPPES registry on November 1, 2007.

Where is Michael Pond located?

Michael Pond practices at Fairfax Rd At Virginia St, Salt Lake City, UT 84103. The listed phone number is (801) 536-3600.

What is Michael Pond's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

What insurance does Michael Pond accept?

Health plans from Molina Healthcare list Michael Pond as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Pond was last updated on November 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.