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TETON PEDIATRICS PC
NPI 1790388213
Pediatrics in Jackson, WY

Active since November 18, 2020
555 E BROADWAY AVE STE 202, JACKSON, WY 83001(307) 733-6520(307) 733-3216 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 1, 2020, Nov 18, 2020 (2 updates tracked since 2020).

About Teton Pediatrics Pc NPPES

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

TETON PEDIATRICS PC (NPI 1790388213), doing business as Teton Pediatrics, is a healthcare organization registered as a pediatrics in Jackson, Wyoming and active in the NPI registry since November 2020. The organization lists Jacquelin Foss Hardenbrook, Owner, as its authorized official.

NPPES Registry Identity

NPI1790388213
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameTETON PEDIATRICS PC
Location Address555 E BROADWAY AVE STE 202Jackson, WY 83001-8640
Mailing AddressPo Box 4182Jackson, WY 83001-4182 · (307) 733-6520
Phone(307) 733-6520
Fax(307) 733-3216
Organization SubpartNo
Authorized OfficialJacquelin Foss HardenbrookOwner · (307) 733-6520
Enumeration DateNovember 18, 2020
Last NPPES UpdateDecember 1, 20202 updates tracked since enumeration
NPPES CertifiedDecember 1, 2020
✔ NPI 1790388213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
555 E BROADWAY AVE STE 202, Jackson, WY 83001
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Other Names 1

Doing Business AsTeton Pediatrics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

PAINTBRUSH PEDIATRICS, LC
Pediatrics
555 E BROADWAY AVE STE 202
JACKSON, WY 83001
Teton County (307) 733-6520
DR. JACQUELIN FOSS HARDENBROOK M.D.
Pediatrics
555 E BROADWAY AVE STE 202
JACKSON, WY 83001
Teton County (307) 733-6520
DR. JEREMY STEWART HERTZIG M.D.
Pediatrics
555 E BROADWAY AVE STE 202
JACKSON, WY 83001
Teton County (307) 733-6520

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 Teton Pediatrics PC's NPI number?

The NPI number for Teton Pediatrics PC is 1790388213. It was assigned to this organization in the NPPES registry on November 18, 2020. The provider is doing business as Teton Pediatrics.

Where is Teton Pediatrics PC located?

Teton Pediatrics PC is located at 555 E Broadway Ave Ste 202, Jackson, WY 83001. The listed phone number is (307) 733-6520.

What is Teton Pediatrics PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Teton Pediatrics PC was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.