TIMOTHY B JOLLEY (NPI# 1407907504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407907504 |
Entity Type | Individual |
Full Name | TIMOTHY B JOLLEY |
Credential | M.D. |
Practice Address |
1322 3rd St Se Ste 240 Puyallup WA 98372-3771 |
Mailing Address |
10209 136th St E Puyallup WA 98374-3076 |
Practice Telephone | 2538481572 |
Practice Fax Number | 2538413719 |
Mailing Telephone | 2538481535 |
Mailing Fax Number | 2538486537 |
Enumeration Date | 2007-01-15 |
Last Update Date | 2011-02-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | MD00015352 | WA | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | MD00015352 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 1001502 | 05 |
Street Address |
1322 3RD ST SE STE 240 |
City | PUYALLUP |
State | WA |
Zip Code | 98372-3771 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598786170 | Luann E Schafer | Nurse Practitioner | 1322 3rd St Se Ste 240, Puyallup, WA 98372-3771 | 2006-07-21 |
1861014193 | Larissa Hurd | Student in an Organized Health Care Education/Training Program | 1322 3rd St Se Ste 240, Puyallup, WA 98372-3771 | 2020-05-08 |
1679194377 | Manjot Kaur | Student in an Organized Health Care Education/Training Program | 1322 3rd St Se Ste 240, Puyallup, WA 98372-3771 | 2020-05-04 |
1245851112 | Michael Joseph Maidan | Student in an Organized Health Care Education/Training Program | 1322 3rd St Se Ste 240, Puyallup, WA 98372-3771 | 2020-05-02 |
1225659386 | Brittan Silva | Student in an Organized Health Care Education/Training Program | 1322 3rd St Se Ste 240, Puyallup, WA 98372-3771 | 2020-04-29 |
1629600564 | Rebecca Rae Beal | Nurse Practitioner | 1322 3rd St Se Ste 240, Puyallup, WA 98372-3771 | 2020-02-09 |
1982261053 | Ryan Scott Milligan | Student in an Organized Health Care Education/Training Program | 1322 3rd St Se Ste 240, Puyallup, WA 98372-3771 | 2019-05-23 |
1437714474 | Cody Joseph Rogers | Student in an Organized Health Care Education/Training Program | 1322 3rd St Se Ste 240, Puyallup, WA 98372-3771 | 2019-05-06 |
1134682529 | Khushbu Sodhi | Student in an Organized Health Care Education/Training Program | 1322 3rd St Se Ste 240, Puyallup, WA 98372-3771 | 2019-04-11 |
1508338799 | Hong-an Phuc Ngo | Student in an Organized Health Care Education/Training Program | 1322 3rd St Se Ste 240, Puyallup, WA 98372-3771 | 2018-12-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
Find all providers in zip 98372 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609921840 | Rumi Iqbal | General Practice | 611 31at Ave Sw, Puyallup, WA 98373 | 2007-01-25 |
1801827068 | South Hill General Medical Clinic | General Practice | 10209 136th St E, South Hill General Medical Clinic, Puyallup, WA 98374 | 2006-07-06 |
1437125259 | Sandra J Frister | General Practice | 1409 2nd St Se, Puyallup, WA 98372-3706 | 2006-02-23 |
1205151958 | Igor Nazarov | General Practice | 15214 Canyon Rd E, Puyallup, WA 98375-7472 | 2010-04-06 |
1053517763 | Daniel Millar | General Practice | 10217 125th Street Ct E, 3rd Floor, Puyallup, WA 98374-2761 | 2007-06-21 |
1427089689 | Andrew Man Kuen Tsoi | General Practice | 10209 136th St E, South Hill General Medical Clinic, Puyallup, WA 98374-3076 | 2006-07-06 |
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1063971703 | Source Northwest Integrative Medicine | General Practice | 7206 267th St Nw Ste 102, Stanwood, WA 98292-6269 | 2019-03-12 |
1255896601 | Emily Christine Buck | General Practice | 940 Fitzsimmons Dr, Tacoma, WA 98431-0001 | 2019-02-08 |
1740755651 | Alyssa Ann Yruegas | General Practice | 2108 W Spruce St, Moses Lake, WA 98837-2853 | 2018-10-06 |
1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
1962916437 | Parkview Medical Group Inc | General Practice | 615 S Division St Ste A, Moses Lake, WA 98837-3800 | 2017-11-20 |
1790212496 | Thien Thanh Ho | General Practice | 12307 Douglas Rd, Yakima, WA 98908-9129 | 2017-05-12 |
1285173625 | Regenerative Medicine Institute, Pllc | General Practice | 731 N Stanley St, Medical Lake, WA 99022-8940 | 2017-02-17 |
1457708430 | James Bailey | General Practice | 9040 Jackson Ave Tripler Army Medical Center, Tacoma, WA 98431-5001 | 2016-05-19 |
1740635887 | Peter Chulhi Kang | General Practice | 1425 Spring St Apt 802, Seattle, WA 98104-1635 | 2016-04-26 |
1831551084 | Anna Hackenmiller | General Practice | 1657 S Nettleton Ln, Spokane, WA 99224-6108 | 2016-03-27 |
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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.