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JACKSON PEDIATRICS
NPI 1912335530
Pediatrics in Jackson, WY

Active since October 16, 2013
557 E BROADWAY AVE, JACKSON, WY 83001(307) 733-4627(307) 733-5184 Get Directions Write a Review

NPPES record last updated: October 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Pediatrics NPPES

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

JACKSON PEDIATRICS (NPI 1912335530) is a healthcare organization registered as a pediatrics in Jackson, Wyoming and active in the NPI registry since October 2013. The organization lists Travis John Riddell, Pediatrician, as its authorized official.

NPPES Registry Identity

NPI1912335530
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameJACKSON PEDIATRIC ASSOCIATES, LLC
Location Address557 E BROADWAY AVEJackson, WY 83001-8640
Mailing AddressPo Box 1029Jackson, WY 83001-1029 · (307) 733-4627 · Fax (307) 733-5184
Phone(307) 733-4627
Fax(307) 733-5184
Organization SubpartNo
Authorized OfficialTravis John RiddellPediatrician · (307) 733-4627
Enumeration DateOctober 16, 2013
✔ NPI 1912335530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
557 E BROADWAY AVE, Jackson, WY 83001
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Other Names 1

Doing Business AsJackson Pediatrics

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

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.

DR. SHARENE GARAMAN PSY.D.
Psychologist (Clinical)
557 E BROADWAY AVE
JACKSON, WY 83001
Teton County (307) 733-4478
RICHARD GREER SUGDEN MD
Family Medicine
557 E BROADWAY AVE
JACKSON, WY 83001
Teton County (307) 733-7771
FAMILY PRACTICE ASSOCIATES
Family Medicine
557 E BROADWAY AVE
JACKSON, WY 83001
Teton County (307) 733-7771

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 Jackson Pediatric Associates, LLC's NPI number?

The NPI number for Jackson Pediatric Associates, LLC is 1912335530. It was assigned to this organization in the NPPES registry on October 16, 2013. The provider is doing business as Jackson Pediatrics.

Where is Jackson Pediatric Associates, LLC located?

Jackson Pediatric Associates, LLC is located at 557 E Broadway Ave, Jackson, WY 83001. The listed phone number is (307) 733-4627.

What is Jackson Pediatric Associates, LLC's specialty?

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

What insurance does Jackson Pediatric Associates, LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Jackson Pediatric Associates, LLC 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 Jackson Pediatric Associates, LLC was last updated on October 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.