Jay Forrest Pomerance, MD

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

036090131 Issued in IL

Practice address

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

Phone

(847) 871-5770

Fax

(847) 871-5773

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1780641407",
    "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": "847-781-5770",
            "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": {
        "last_name": "POMERANCE",
        "first_name": "JAY",
        "middle_name": "FORREST",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "IL",
            "license": "036090131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04932148",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Podiatry of Illinois, PC (Podiatry of Arlington Heights)
• Piotr Polek, PTA
• Bilus D Poles, DDS
• Nicole L Pollard
• Julia Pollina
• Tammy Gayle Pomper
• Lisa Pontello
• John K. Pontikes, D.M.D.
• Gweneth Porter
• William R Porter, M.D.

• Orthopaedic Hand Surgery Physician in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Orthopaedic Hand Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.