TIMOTHY B JOLLEY


Address: 1322 3rd St Se Ste 240, Puyallup, WA 98372-3771
Phone: 2538481572

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
WA 1001502 05

Office Location

Street Address 1322 3RD ST SE STE 240
City PUYALLUP
State WA
Zip Code 98372-3771

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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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Competitor

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City PUYALLUP
Zip Code 98372

Improve Information

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Dataset Information

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.

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