Active NPI
Jack M Pomerantz, MD
- Emergency Medicine Physician
- Anchorage, AK
National Provider Identifier
1407842214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 020657
- Practice address
- 3200 Providence Dr
Anchorage, AK 99508-4615 - Phone
- (907) 202-1736
- NPI assigned
- Sep 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 020657 | LA | Primary |
Addresses
Primary practice location
3200 Providence Dr
Anchorage, AK 99508-4615
Mailing address
Dept At952639
Atlanta, GA 31192-2639
Phone (800) 684-0857
Other practice location 1
337 E 4th Ave Unit B
Anchorage, AK 99501-2664
Phone (907) 268-6576
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1903728 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.68 of 100
- Quality
- 84.45
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20657 | LA | MD | Pharmacist |
| 020657 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McKinley Care Medical Supplies | Current | Accepting new patients | |
| Pathology LLC | Current | Accepting new patients | |
| McKinley Care LLC | Current | Accepting new patients | |
| Professional Emergency Physician Associates, LLC | Emergency Medicine | Past | Accepting new patients |
| Gulfport Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Acs Primary Care Physicians Louisiana PC | Emergency Medicine | Past | Accepting new patients |
| Keystone Medical Services of Ms, Inc | Emergency Medicine | Past | Accepting new patients |
Locations
337 E 4th Ave
Unit B
Anchorage, AK 99501
Phone (907) 268-6576
1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Assisted Living Facility
- Anchorage, AK
- NPI 1184233116
-
- Durable Medical Equipment & Medical Supplies
- Anchorage, AK
- NPI 1023897485
-
- Anatomic Pathology & Clinical Pathology Physician
- Marrero, LA
- NPI 1619900990
-
- Emergency Medicine Physician
- Alexandria, LA
- NPI 1306889092
-
- Emergency Medicine Physician
- Gulfport, MS
- NPI 1467400887
-
- Emergency Medicine Physician
- Hazlehurst, MS
- NPI 1174691059
-
- Emergency Medicine Physician
- Baton Rouge, LA
- NPI 1992758247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1407842214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT AT952639",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311922639",
"telephone_number": "800-684-0857",
"fax_number": "405-844-1794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 PROVIDENCE DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084615",
"telephone_number": "907-202-1736"
}
],
"practiceLocations": [
{
"address_1": "337 E 4th Ave Unit B",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995012664",
"country_code": "US",
"telephone_number": "907-268-6576",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POMERANTZ",
"first_name": "JACK",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "020657",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1903728",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.