DARA JOLLY (NPI# 1255549507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255549507 |
| Entity Type | Individual |
| Full Name | DARA JOLLY |
| Credential | MD |
| Practice Address |
1412 Sw 43rd St Suite 200 Renton WA 98057-4803 |
| Practice Telephone | 4252714910 |
| Practice Fax Number | 4252641041 |
| Mailing Telephone | 4252714910 |
| Mailing Fax Number | 4252641041 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2016-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
MD00048853 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
1412 SW 43RD ST SUITE 200 |
| City | RENTON |
| State | WA |
| Zip Code | 98057-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487654331 | N W Eye Surgeons P C | Ophthalmology | 1412 Sw 43rd St, Suite 310, Renton, WA 98057-4803 | 2005-07-21 |
| 1568085454 | Jacqueline R. Buckley, LLC | Podiatrist | 1412 Sw 43rd St, Renton, WA 98057-4803 | 2020-05-26 |
| 1184191603 | Pacific Retina Center Pllc | Ophthalmology | 1412 Sw 43rd St, Renton, WA 98057-4803 | 2018-11-01 |
| 1336690684 | Geoffrey Natividad | Pharmacist | 1412 Sw 43rd St, 120, Renton, WA 98057-4803 | 2016-10-21 |
| 1386195048 | Reddi Enterprises Inc | Pharmacy | 1412 Sw 43rd St, 120, Renton, WA 98057-4803 | 2016-10-18 |
| 1417405333 | Evergreen Treatment Services | Clinic/Center | 1412 Sw 43rd St, Suite 140, Renton, WA 98057-4803 | 2016-09-20 |
| 1396192803 | Concerto Medical Group of Washington, PC | General Practice | 1412 Sw 43rd St, Suite 315, Renton, WA 98057-4803 | 2016-05-16 |
| 1225421688 | Associated Valley Counseling, LLC | Counselor | 1412 Sw 43rd St, Suite 111, Renton, WA 98057-4803 | 2015-03-10 |
| 1649660853 | Lauren Rainbow | Social Worker | 1412 Sw 43rd St, Renton, WA 98057-4803 | 2015-01-26 |
| 1336539733 | Washington Center for Pain Management LLC | Anesthesiology | 1412 Sw 43rd St, Suite 110, Renton, WA 98057-4803 | 2015-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856628 | Megan Ramaiya | Student in an Organized Health Care Education/Training Program | King Count Sexual Assault & Resource Center, 200 Mill Ave S # 10, Renton, WA 98057 | 2019-11-19 |
| 1063076255 | Breanne Michele Smiley | Specialist/Technologist | 737 Logan Ave N, Renton, WA 98057 | 2019-04-24 |
| 1093215063 | Laura Lewis | Physical Medicine & Rehabilitation | 1000 Oakesdale Ave Sw Ste 100, Renton, WA 98057 | 2018-02-16 |
| 1437676004 | Ralph William Papke Jr. | Counselor | Kaiser Permanente of Wa, 1200 Sw 27th St, Renton, WA 98057 | 2017-08-24 |
| 1487106456 | Serengeti Care Partners LLC | Community/Behavioral Health | 707 S- Grady Way, Suite 6008, Renton, WA 98057 | 2016-10-26 |
| 1548716152 | Phandinh Ngoc Nguyen | Naturopath | 330 Sw 43rd St,suite L, Renton, WA 98057 | 2016-09-01 |
| 1275905721 | Todd R Glass | Chiropractor | 1024 N 10th Pl #2306, Renton, WA 98057 | 2015-10-23 |
| 1134595341 | Have A Heart | Case Management | 151 Taylor Ave Nw, Renton, WA 98057 | 2015-08-12 |
| 1780087171 | Brianne N Lefferts | Physical Therapist | 300 Sw 7th Street, Renton, WA 98057 | 2014-09-30 |
| 1588089460 | Sound Association Western Washington LLC | Audiologist | 108 Factory Ave. N., Ste 2b, Renton, WA 98057 | 2014-02-28 |
| Find all providers in zip 98057 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497998355 | Aspen R Copeland | Obstetrics & Gynecology | 4011 Talbot Rd S, Suite 430, Renton, WA 98055-5773 | 2009-04-08 |
| 1255532180 | Anthony F. Tagavilla | Obstetrics & Gynecology | 17722 Talbot Rd S, Renton, WA 98055-5744 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215498779 | Community Pregnancy Center of Camas/washougal | Obstetrics & Gynecology | 2926 E St, Washougal, WA 98671-2021 | 2019-03-27 |
| 1720422512 | Options360 Women's Clinic | Obstetrics & Gynecology | 221 Ne 104th Ave Ste 209, Vancouver, WA 98664-4505 | 2013-04-23 |
| 1174673214 | Theresa Agnes Burdick | Obstetrics & Gynecology | 801 Broadway Ste 707, Seattle, WA 98122-4328 | 2007-01-11 |
| 1801988878 | Daniel E Bahnmiller | Obstetrics & Gynecology | 138 Keene Rd, Richland, WA 99352-8683 | 2006-09-28 |
| 1326154881 | James Vincent Brasch | Obstetrics & Gynecology | 212 E Central Ave Ste 340, Spokane, WA 99208-6289 | 2006-08-21 |
| 1154313674 | Candace C Green | Obstetrics & Gynecology | 2630 N Columbia Center Blvd, Suite B, Richland, WA 99352-4853 | 2005-08-19 |
| 1093350977 | Roseline Buyeka | Obstetrics & Gynecology | 3815 S Othello St, Seattle, WA 98118-3510 | 2019-11-14 |
| 1154863157 | Waterfalls Longevity Center Pllc | Obstetrics & Gynecology | 9144 Burnett Rd Se, Ste B-3, Yelm, WA 98597-8488 | 2016-11-08 |
| 1306295605 | Lorraine Robertsonmd | Obstetrics & Gynecology | 12520 Sunrise Dr Ne, Bainbridge Island, WA 98110-4307 | 2016-06-07 |
| 1710394572 | Caitlin Schuh | Obstetrics & Gynecology | 9040 Jackson Ave, Tacoma, WA 98431-7324 | 2014-07-14 |
| Find all providers with the same taxonomy | ||||
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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.