Jackson Pediatric Associates, LLC
NPI 1912335530ActiveOrganization· Pediatrics· Jackson, WY
Pediatrics in Jackson, Wyoming, registered in NPPES in October 2013. The authorized official on file is Travis John Riddell, M.D., Pediatrician.
Overview
| NPI | 1912335530 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 16, 2013 |
| Last updated in NPPES | Oct 16, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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