MARC D TOLLEY (NPI# 1265740062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265740062 |
| Entity Type | Individual |
| Full Name | MARC D TOLLEY |
| Credential | M.D |
| Practice Address |
4102 Pinion Dr Usaf Academy CO 80840 |
| Mailing Address |
4102 Pinion Dr Usaf Academy CO 80840-2502 |
| Practice Telephone | 7193335274 |
| Mailing Telephone | 7193335274 |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2018-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
8874108-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
4102 PINION DR |
| City | USAF ACADEMY |
| State | CO |
| Zip Code | 80840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336776467 | Rebecca Briones | Student in an Organized Health Care Education/Training Program | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2020-03-26 |
| 1588222129 | Christopher J Drager | Physical Therapist | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2019-05-29 |
| 1346706454 | Hannah M Szilagy | Physical Therapist | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2019-02-13 |
| 1831671262 | Alexander Ortiz | Physician Assistant | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2018-09-01 |
| 1336629096 | Kim D Tran | Family Medicine | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2018-08-21 |
| 1235624065 | Lauren Yurish-crittenden | Psychologist | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2018-06-25 |
| 1477055572 | Keeley Katrein | Physician Assistant | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2018-03-05 |
| 1588162176 | Justin James Fleming | Physical Therapy Assistant | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2018-01-29 |
| 1609392570 | Mark Eulenstein | Dentist | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2017-08-22 |
| 1306387436 | Carrie Marie Ferguson | Nurse Practitioner | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2017-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554011 | Christina Dang | Student in an Organized Health Care Education/Training Program | 4355-b Faculty Drive, Us Air Force Academy, CO 80840 | 2020-03-23 |
| 1053893123 | Glen William Myers | Dentist | 2355-b Faculty Dr, Usaf Academy, Colorado, Usafa, AA 80840 | 2018-09-05 |
| 1225374499 | National Vision Optical | Technician/Technologist | Bldg 5136, Community Center Dr., Us Air Force Academy, CO 80840 | 2012-12-17 |
| 1366758906 | Brett Michael Germain | Dentist | 2355-b Faculty Dr., Usaf Academy, CO 80840 | 2010-08-20 |
| 1518289115 | Renee Jean Cole | Military Health Care Provider | 4515 East Juniper Dr Unit A, Usaf Academy, CO 80840 | 2010-02-23 |
| 1063655140 | Gregory S. Brooks | Military Health Care Provider | 2355 Faculty Dr Suite 1n207, 10th Amds, Usafa, CO 80840 | 2009-04-20 |
| 1801092390 | Bryant Mcneill | Internal Medicine | 4102 Pinion 10mdg, Usaf Academy, CO 80840 | 2007-06-22 |
| 1447384383 | Francis Crosby Jr. | Physician Assistant | 4102 Pinon Drive, Usaf Academy, CO 80840 | 2007-03-15 |
| 1023115870 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 5136 Eagle Dr, Ste 102, Usaf Academy, CO 80840 | 2006-09-20 |
| 1669582722 | Scott Layle Carbaugh | Physician Assistant | 4102 Pinion Dirve, Usaf Academy, CO 80840 | 2006-08-30 |
| Find all providers in zip 80840 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275518128 | Donald Mark Meduna | Radiology | 10th Medical Group, 4102 Pinion Drive, Suite 100, Usaf Academy, CO 80840-4000 | 2005-12-14 |
| 1780668798 | Kent Davis Abbott | Radiology | 4102 Pinion Dr., Usaf Academy, CO 80840-2502 | 2005-12-02 |
| 1861755100 | Christopher Joseph Steel | Radiology | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2012-06-21 |
| 1174840482 | Brian James Lewis | Radiology | 4102 Pinion Drive, 10th Medical Group, Usaf Academy, CO 80840-2502 | 2010-04-26 |
| 1699747170 | Craig Steven Labuda | Radiology | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2006-02-07 |
| 1033109681 | Robert J Schimmel | Radiology | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2005-10-25 |
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|---|---|---|---|---|
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| 1548861529 | Pueblo Radiological Group, P.C. | Radiology | 1804 Oakmoor Hts, Colorado Springs, CO 80906-1171 | 2020-11-05 |
| 1346855905 | Cher LLC | Radiology | 2236 E Harmony Rd, Fort Collins, CO 80528-3412 | 2020-09-10 |
| 1376153965 | Colorado Springs Radiologists PC | Radiology | 5607 Barnes Rd # 140, Colorado Springs, CO 80917-1347 | 2020-08-07 |
| 1255949608 | Rocky Mountain Cancer Centers LLP | Radiology | 1800 N Williams St Ste 100, Denver, CO 80218-1237 | 2020-07-21 |
| 1376189258 | Smi Imaging LLC | Radiology | 7903 S Broadway Ste A, Littleton, CO 80122-2712 | 2019-11-26 |
| 1548806425 | Smi Imaging LLC | Radiology | 3840 Wadsworth Blvd Ste 5, Wheat Ridge, CO 80033-4613 | 2019-11-26 |
| 1881230829 | Smi Imaging LLC | Radiology | 939 N Broadway, Denver, CO 80203-2705 | 2019-11-25 |
| 1598301533 | Smi Imaging LLC | Radiology | 12520 Grant Dr Ste 200, Thornton, CO 80241-2512 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
| City | USAF ACADEMY |
| Zip Code | 80840 |
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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.