NPIMap

Organization Active NPI

Tom Pockat MD PC

  • Pediatrics Physician
  • Jackson, WY
National Provider Identifier
1225203011
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
3222A Issued in WY
Legal business name
TOM POCKAT MD PC
Practice address
555 E. Broadway St.
Suite 202
Jackson, WY 83001-4182
Phone
(307) 733-6520
Fax
(307) 733-3216
NPI assigned
Apr 23, 2008
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas J Pockat, M.D.NPI 1952456501
Title
Owner
Phone
(307) 733-6520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 3222A WY Primary

Addresses

Primary practice location

555 E. Broadway St.
Suite 202
Jackson, WY 83001-4182

Mailing address

PO Box 4182
Jackson, WY 83001-4182
Phone (307) 733-6520

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1225203011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4182",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830014182",
            "telephone_number": "307-733-6520",
            "fax_number": "307-733-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E. BROADWAY ST.",
            "address_2": "SUITE 202",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830014182",
            "telephone_number": "307-733-6520",
            "fax_number": "307-733-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM POCKAT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "POCKAT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-733-6520",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WY",
            "license": "3222A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.