JACKSON PEDIATRICS
NPI 1912335530
Pediatrics in Jackson, WY

NPI Status: Active since October 16, 2013

Contact Information

557 E BROADWAY AVE
JACKSON, WY
ZIP 83001
Phone: (307) 733-4627
Fax: (307) 733-5184

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  • Organization
  • Pediatrics
  • Accepts Insurance

About JACKSON PEDIATRICS

This page provides the complete NPI Profile along with additional information for Jackson Pediatrics, a pediatrician established in Jackson, Wyoming operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1912335530 assigned on October 2013. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Jackson Pediatrics. The authorized official of this NPI record is Dr. Travis John Riddell M.d. (Pediatrician)

NPI
1912335530
Provider Legal Name
JACKSON PEDIATRIC ASSOCIATES, LLC
Other Organization Name
JACKSON PEDIATRICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
557 E BROADWAY AVE JACKSON, WY 83001
Location Phone
(307) 733-4627
Location Fax
(307) 733-5184
Mailing Address
PO BOX 1029 JACKSON, WY 83001
Mailing Phone
(307) 733-4627
Mailing Fax
(307) 733-5184
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-16-2013
Last Update Date
10-16-2013
Code Navigator

A pediatrician like Jackson Pediatrics is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

 

Insurance Plans Accepted

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

  • BlueSelect Bronze Basic - PPO
  • BlueSelect Bronze Core - PPO
  • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • BlueSelect Gold Core - PPO
  • BlueSelect Gold HealthPlus - PPO
  • BlueSelect Gold Standard without Kid's Dental - PPO
  • BlueSelect Silver Classic - PPO
  • BlueSelect Silver Classic without Kid's Dental - PPO
  • BlueSelect Silver HealthPlus - PPO
  • BlueSelect Silver HealthPlus without Kid's Dental - PPO
  • BlueSelect Silver Standard without Kid's Dental - PPO

*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

DR. TRAVIS JOHN RIDDELL M.D.

Authorized Official Title
PEDIATRICIAN
Authorized Official Phone
(307) 733-4627

Reviews for JACKSON PEDIATRICS

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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 1912335530, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
3
Doubled → 6
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
3
Doubled → 6
Check
0
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 1 → 2 3 → 6 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 2 + 2 + 6 + 3 + 1 + 0 + 5 + 6 + 24 = 60

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

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1912335530.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Family Medicine
557 E BROADWAY AVE
JACKSON, WY 83001
Family Medicine
557 E BROADWAY AVE
JACKSON, WY 83001
Psychologist (Clinical)
557 E BROADWAY AVE
JACKSON, WY 83001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912335530, enumerated as an "organization" on October 16, 2013.

The provider is located at 557 E BROADWAY AVE JACKSON, WY 83001 and the phone number is (307) 733-4627.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming. Please consult your insurance carrier or call the provider to verify.