Orthopaedics of Jackson Hole

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

N/A Issued in WY

Legal business name

ORTHOPAEDICS OF JACKSON HOLE

Practice address

555 E Broadway
Jackson, WY 83001-9496

Phone

(307) 733-3900

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Holly Horan

Title

Corporate Operations Specialist

Phone

(219) 365-6560

Specialties & licenses 1

Addresses

Other names 1

• Teton Orthopaedics Doing business as

Locations

Practitioners 4

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

• Andrew Brandon Bullington, M.D.

  • Orthopaedic Surgery Physician
  • Jackson, WY
  • NPI 1700910155
  NPD (past)
• David Khoury IV, MD

  • Orthopaedic Surgery Physician
  • Jackson, WY
  • NPI 1760521702
  NPD (past)
• Heidi E Michelsen Jost, MD

  • Orthopaedic Surgery Physician
  • Jackson, WY
  • NPI 1649272204
  NPD (past)
• Calvin P Schenk, PA

  • Medical Physician Assistant
  • Jackson, WY
  • NPI 1609323302
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922051184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E BROADWAY",
            "address_2": "P.O. BOX 10490",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830019496",
            "telephone_number": "307-733-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E BROADWAY",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830019496",
            "telephone_number": "307-733-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDICS OF JACKSON HOLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HORAN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "CORPORATE OPERATIONS SPECIALIST",
        "authorized_official_telephone_number": "219-365-6560"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teton Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heidi Ogg
• Nicholl Olivares Rodriguez, PPC
• One22 Inc
• Luane Maria Oprea, PH.D
• Orthopaedic Associates Imaging
• Orthopaedics of Jackson Hole PC
• Orthopedic Sports Trauma LLC
• Casey Orzech, RN
• Osi Jackson Hole, LLC
• Mary Jayne Ottman, RN MS

• Physical Therapist in Jackson, WY
• Providers in Jackson, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.