ST JOHNS MEDICAL CENTER ER PHYSICIANS
NPI 1821317595
Emergency Medicine in Jackson Hole, WY

NPI Status: Active since May 20, 2010

Contact Information

625 E BROADWAY AVE
JACKSON HOLE, WY
ZIP 83001
Phone: (307) 739-7250
Fax: (307) 739-7249

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  • Organization
  • Emergency Medicine

About ST JOHNS MEDICAL CENTER ER PHYSICIANS

This page provides the complete NPI Profile along with additional information for St Johns Medical Center Er Physicians, a provider established in Jackson Hole, Wyoming operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1821317595 assigned on May 2010. The practitioner's primary taxonomy code is 207P00000X with license number 15109 (WY). The provider is registered as an organization and their NPI record was last updated 10 years ago. St Johns Medical Center Er Physicians operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as St Johns Medical Center Er Physicians. The authorized official of this NPI record is John J. Kren (Cfo)

NPI
1821317595
Provider Legal Name
TETON COUNTY HOSPITAL DISTRICT
Other Organization Name
ST JOHNS MEDICAL CENTER ER PHYSICIANS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
625 E BROADWAY AVE JACKSON HOLE, WY 83001
Location Phone
(307) 739-7250
Location Fax
(307) 739-7249
Mailing Address
PO BOX 428 JACKSON, WY 83001
Mailing Phone
(307) 739-7250
Mailing Fax
(307) 739-7249
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-20-2010
Last Update Date
03-16-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
15109
License State
WY
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN J. KREN

Authorized Official Title
CFO
Authorized Official Phone
(307) 739-7526

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
W4251501MEDICARE PIN (08)WY 
106299910MEDICAID (05)WY 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1821317595, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 3 → 6 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 4 + 1 + 6 + 1 + 1 + 4 + 5 + 1 + 8 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1821317595.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinical Medical Laboratory
625 E BROADWAY AVE
JACKSON, WY 83001
Dietitian, Registered
625 E BROADWAY AVE, SUITE 114
JACKSON, WY 83001
Nurse Anesthetist, Certified Registered
625 E BROADWAY AVE
JACKSON, WY 83001
Nurse Anesthetist, Certified Registered
625 E BROADWAY AVE
JACKSON, WY 83001
Nurse Anesthetist, Certified Registered
625 E BROADWAY AVE
JACKSON, WY 83001
Occupational Therapist
625 E BROADWAY AVE
JACKSON, WY 83001
Speech-Language Pathologist
625 E BROADWAY AVE
JACKSON, WY 83001
Specialist/Technologist, Other
625 E BROADWAY AVE
JACKSON, WY 83001
Radiology (Diagnostic Radiology)
625 E BROADWAY AVE
JACKSON, WY 83001
Registered Nurse (Registered Nurse First Assistant)
625 E BROADWAY AVE
JACKSON, WY 83001
Pharmacy (Institutional Pharmacy)
625 E BROADWAY AVE
JACKSON, WY 83001
Physical Therapy Assistant
625 E BROADWAY AVE
JACKSON, WY 83001
Physical Therapy Assistant
625 E BROADWAY AVE
JACKSON, WY 83001
Registered Nurse (Registered Nurse First Assistant)
625 E BROADWAY AVE
JACKSON, WY 83001
Occupational Therapist (Gerontology)
625 E BROADWAY AVE
JACKSON, WY 83001
Pathology (Anatomic Pathology & Clinical Pathology)
625 E BROADWAY AVE
JACKSON, WY 83001
Nurse Practitioner (Acute Care)
625 E BROADWAY AVE
JACKSON, WY 83001
Nurse Practitioner
625 E BROADWAY AVE
JACKSON, WY 83001
Nurse Practitioner (Family)
625 E BROADWAY AVE
JACKSON, WY 83001
Nurse Practitioner
625 E BROADWAY AVE
JACKSON, WY 83001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821317595, enumerated as an "organization" on May 20, 2010.

The provider is located at 625 E BROADWAY AVE JACKSON HOLE, WY 83001 and the phone number is (307) 739-7250.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.