Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Jonathan Peter Boltax, MD

Individual provider Pulmonary Disease Physician · NPI 1629023692

Dr. Jonathan Peter Boltax, MD is registered under 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.

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Practice location Address checks out

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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients397
Services billed 824 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Sublette County Health Hospital · Pinedale, WY · listed as Sublette County Public Health
  • Sagewest Health Care Hospital · Riverton, WY
  • St Johns Medical Center Hospital · Jackson, WY
  • Star Valley Medical Center Hospital · Afton, WY

Also affiliated with 1 hospital, which CMS identifies by certification number only.

Colleagues at Teton County Hospital District

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 112 clinicians in the practice; 12 are shown here.