P George Poore MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

5778A Issued in WY

Legal business name

P GEORGE POORE MD PC

Practice address

555 E Broadway
Ste 212
Jackson, WY 83001-4777

Phone

(307) 739-4662

Fax

(307) 733-7679

NPI assigned

Mar 5, 2008

Organization subpart

No

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

Authorized official

Name

P George Poore, MD

Title

Owner

Phone

(307) 739-4662

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charlotte K Mason, FNP

  • Family Nurse Practitioner
  • Jackson, WY
  • NPI 1710069273
  NPD (past)

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1568632586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4777",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830014777",
            "telephone_number": "307-739-4662",
            "fax_number": "307-733-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E BROADWAY",
            "address_2": "STE 212",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830014777",
            "telephone_number": "307-739-4662",
            "fax_number": "307-733-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P GEORGE POORE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "POORE",
        "authorized_official_first_name": "P",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-739-4662",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WY",
            "license": "5778A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11570700",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Edwards Owens
• Shannon Edward Owens, D.D.S., M.S.
• Stephen E Owens Jr., D.D.S.
• Summer Cathlin Owens, D.D.S.
• Oxford, Jackson, River Rock (River Rock Assisted Living)
• Pain Care Center LLC
• Paintbrush Pediatrics, LC
• Wood M Palmer
• Sarah Anne Patton, LPC
• Meaghan Makala Paul, DPT

• Surgery Physician in Jackson, WY
• Providers in Jackson, WY by specialty
• Surgery Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.