Organization Active NPI

Jay Pomerance MD SC

  • Orthopaedic Hand Surgery Physician
  • Arlington Heights, IL
National Provider Identifier
1558559005
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
Legal business name
JAY POMERANCE MD SC
Practice address
657 E Golf Rd
Suite 309
Arlington Heights, IL 60005-4968
Phone
(847) 871-5770
Fax
(847) 871-5773
NPI assigned
Oct 10, 2007
Last updated
Jun 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Authorized official

Name
Dr. Jay Forrest Pomerance, M.DNPI 1780641407
Title
Doctor
Phone
(847) 871-5770

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
Orthopaedic Hand Surgery Physician 207XS0106X NU Primary

Addresses

Primary practice location

657 E Golf Rd
Suite 309
Arlington Heights, IL 60005-4968

Mailing address

657 E Golf Rd
Suite 309
Arlington Heights, IL 60005-4968
Phone (847) 871-5770

Other identifiers 1

IdentifierTypeStateIssuer
209292OtherILMEDICARE PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

657 E Golf Rd
Ste 3
Arlington Heights, IL 60005
Phone (847) 758-1100

1614 W Central Rd
Ste 206
Arlington Hts, IL 60005
Phone (847) 398-5737

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": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1558559005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 E GOLF RD",
            "address_2": "SUITE 309",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054968",
            "telephone_number": "847-871-5770",
            "fax_number": "847-871-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 E GOLF RD",
            "address_2": "SUITE 309",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054968",
            "telephone_number": "847-871-5770",
            "fax_number": "847-871-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY POMERANCE MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "POMERANCE",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "FORREST",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "847-871-5770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "209292",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.