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

Dr. Jonathan Peter Boltax, MD

Individual provider Pulmonary Disease Physician · NPI 1629023692

Dr. Jonathan Peter Boltax, MD is a Pulmonary Disease in Jackson, Wyoming. Graduated from Temple University School of Medicine in 2002, 24 years ago. Practices with Teton County Hospital District, a 112-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wyoming.

Years since qualifying
24
Trained at
Temple University School of Medicine
Licensed in
WY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

555 E Broadway Ave Ste 220
Jackson, WY 83001-8640
Phone: (307) 739-7305
Fax: (307) 739-4960
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 9935A (WY)

Record details

NPI number1629023692
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2006
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024
Mailing addressPo Box 428, Jackson, WY 83001-0428

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Teton County Hospital District — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services