CHRISTOPHER J. JOLLES MD, PC (NPI# 1003095506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003095506 |
| Entity Type | Organization |
| Organization Name | CHRISTOPHER J. JOLLES MD, PC |
| Other Organization Name | SPECIAL GYNECOLOGY AND ONCOLOGY |
| Practice Address |
12391 S 4000 W Ste 208 Riverton UT 84096-7015 |
| Practice Telephone | 8013025360 |
| Practice Fax Number | 8013027898 |
| Mailing Telephone | 8013025360 |
| Mailing Fax Number | 8013027898 |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2012-03-29 |
| Authorized Official Name | DR. CHRISTOPHER JESSE JOLLES (PRESIDENT) |
| Authorized Official Telephone | 8013025360 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
167833-1205 | UT | Allopathic & Osteopathic Physicians |
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | DMBA | 6457 | 01 |
| UT | RAILROAD MEDICARE | DG6385 | 01 |
| Other Name | Type Code |
|---|---|
| SPECIAL GYNECOLOGY AND ONCOLOGY | Doing Business As Name - Organization |
| Street Address |
12391 S 4000 W STE 208 |
| City | RIVERTON |
| State | UT |
| Zip Code | 84096-7015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265403463 | William Benjamin Warner | Obstetrics & Gynecology | 12391 S 4000 W, Riverton, UT 84096-7012 | 2006-01-27 |
| 1649755349 | Joshua Streeter | Nurse Practitioner | 12391 S 4000 W, Riverton, UT 84096-7012 | 2018-09-27 |
| 1326436007 | Mike Black | Physical Therapist | 12391 S 4000 W, #210, Riverton, UT 84096-7012 | 2015-01-02 |
| 1225446263 | Apex Dental Draper LLC | Dentist | 12391 S 4000 W, Suite 206, Riverton, UT 84096-7012 | 2014-07-22 |
| 1467735621 | Brandon James Hansen | Physician Assistant | 12391 S 4000 W, Riverton, UT 84096 | 2011-09-23 |
| 1063742492 | Apex Family & Cosmetic Dentistry | Dentist | 12391 S 4000 W, Suite 206, Riverton, UT 84096-7012 | 2010-01-07 |
| 1235464413 | Utah Gastroenterology P C | Internal Medicine | 12391 S 4000 W, Riverton, UT 84096-7012 | 2009-10-06 |
| 1801121108 | Carly Rae Davis | Pediatrics | 12391 S 4000 W, Riverton, UT 84096-7012 | 2009-10-05 |
| 1538321237 | Jeremy Paul Gerritsen | Optometrist | 12391 S 4000 W, Riverton, UT 84096-7012 | 2008-06-25 |
| 1649455403 | Daniel Todd Richards | Orthopaedic Surgery | 12391 S 4000 W, Riverton, UT 84096-7012 | 2007-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499249 | Abundant Dental Care, P.C. | Dentist | 5089 West 12600 South, Herriman, UT 84096 | 2019-07-19 |
| 1225563703 | Kristen Haslam | Specialist/Technologist, Other | 13947 S Newburg Dr., Herriman, UT 84096 | 2017-04-21 |
| 1770960452 | Tyler Rolland Petersen | Social Worker | 13351 S Shaunna Lane, Herriman, UT 84096 | 2015-05-01 |
| 1649687948 | Victor Clark | Assisted Living Facility | 6352 W 13100 S, Herriman, UT 84096 | 2014-07-18 |
| 1548539554 | Neck and Back Relief | Chiropractor | 12600 S. 4013 W., Suite E, Riverton, UT 84096 | 2011-12-20 |
| 1114220092 | Sharlene Christensen | Counselor | 13878 S. Ken Cv, Herriman, UT 84096 | 2010-12-14 |
| 1518156991 | Jon Christian Fairbanks | Dentist | 5532 W. Herriman Main Street, #210, Herriman, UT 84096 | 2007-10-22 |
| 1215154232 | Karen Jane Olson | Nurse Practitioner | 13400 S. 5746 W #200, Herriman, UT 84096 | 2007-04-19 |
| 1619022969 | Jeffrey T Lambert | Dentist | 5532 W. Herriman Main St., #210, Herriman, UT 84096 | 2007-01-25 |
| 1578638854 | Stevenson Pediatric Dentistry P.C. | Dentist | 4019 W. 12600 S., Suite 200, Riverton, UT 84096 | 2006-11-21 |
| Find all providers in zip 84096 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336697747 | Pamela Anne Walker | Specialist | 13925 S. Haystack Peak Cir, Riverton, UT 84096-6453 | 2016-09-14 |
| 1871967489 | Mckenzi Lynn Knell | Specialist | 3923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2015-11-19 |
| 1427456482 | Upri Riverton | Specialist | 13322 S 3600 W, Suite 104, Riverton, UT 84065-8024 | 2014-12-08 |
| 1790212413 | Amanda Jensen | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2017-05-11 |
| 1053843250 | Shaeleigh Jade Knell | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2017-03-28 |
| 1063952497 | Brittany Steele Baker | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2017-03-04 |
| 1356881189 | Lara Staats | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2017-02-27 |
| 1699215558 | Janae Hamilton | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2017-02-26 |
| 1386183754 | Brendon Larimore | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2017-02-18 |
| 1417495607 | Sidney Rasher | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2017-02-07 |
| Find all providers in RIVERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.