Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jason D Provus, MD

Individual provider Orthopaedic Surgery Physician · NPI 1972821320

Dr. Jason D Provus, MD is an Orthopedic Surgery in Jackson, Wyoming. Graduated from R Franklin University of Med & SCI/Chicago Medical School in 2005, 21 years ago. Practices with Teton County Hospital District, a 112-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
21
Trained at
R Franklin University of Med & SCI/Chicago Medical School
Licensed in
WY
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

555 E Broadway Ave Ste 129
Jackson, WY 83001-8640
Phone: (307) 733-3900
Fax: (307) 739-7683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 16633A (WY)

Record details

NPI number1972821320
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 10, 2010
Last updated in NPPESMarch 9, 2024
Certification dateMarch 9, 2024
Mailing addressPo Box 428, Jackson, WY 83001-0428

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolR FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated 2005 (21 years in practice)
Group practice Teton County Hospital District — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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