JESSE JEFFREY DOLL (NPI# 1427312438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427312438 |
Entity Type | Individual |
Full Name | JESSE JEFFREY DOLL |
Credential | PA-C |
Practice Address |
2360 Mullan Rd Ste C Missoula MT 59808-1811 |
Practice Telephone | 4067214436 |
Mailing Telephone | 4067214436 |
Enumeration Date | 2012-06-25 |
Last Update Date | 2014-08-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
18868 | MT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2360 MULLAN RD STE C |
City | MISSOULA |
State | MT |
Zip Code | 59808-1811 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497747802 | Kay Lynn Kramer | Occupational Therapist | 2360 Mullan Rd, Ste D, Missoula, MT 59808-1811 | 2005-08-22 |
1891354684 | Tasha Nichole Kohlwes | Specialist/Technologist | 2360 Mullan Rd, Missoula, MT 59808-1811 | 2019-06-06 |
1306327317 | Sydney Williams | Physical Therapist | 2360 Mullan Rd, Missoula, MT 59808-1811 | 2018-08-27 |
1144754938 | University of Utah Adult Services | Orthopaedic Surgery | 2360 Mullan Rd, Suite C, Missoula, MT 59808-1811 | 2017-04-18 |
1023542388 | University of Utah Pediatric Services | Pediatrics | 2360 Mullan Rd, Sutie C, Missoula, MT 59808-1811 | 2017-04-13 |
1689117194 | Matea Michelle Depoe | Specialist/Technologist | 2360 Mullan Rd, Suite D, Missoula, MT 59808-1811 | 2016-12-01 |
1972900157 | Vincent Keeney | Physician Assistant | 2360 Mullan Rd, Ste C, Missoula, MT 59808-1811 | 2014-12-03 |
1497158208 | Emily Beatrice Smith | Dietitian, Registered | 2360 Mullan Rd, Suite C, Missoula, MT 59808-1811 | 2014-10-07 |
1588079016 | Cynthia Deann Cleveland | Physical Therapist | 2360 Mullan Rd, Suite C, Missoula, MT 59808-1811 | 2014-06-23 |
1992016679 | Mike Kim Tran | Physical Therapist | 2360 Mullan Rd, Missoula, MT 59808-1811 | 2010-06-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447720875 | Megan Elizabeth Galliford | Behavioral Analyst | 1647 Shindig Dr, Apt 303, Missoula, MT 59808 | 2018-11-28 |
1518473560 | Willow Mahana Nelson Griffith | Registered Nurse | 2829 Great Northern Loop Ste 300, Missoula, MT 59808 | 2017-12-28 |
1043739428 | Carol Elizabeth Mckenzie | Student in an Organized Health Care Education/Training Program | 2705 Oshaughnessy St, Missoula, MT 59808 | 2017-09-16 |
1558884064 | Sharon Marie Herndon | Nurse Practitioner | 2230 N Reserve St Ste 402, Missoula, MT 59808 | 2017-07-18 |
1427594761 | Erin Boggs | Specialist/Technologist | 2921 Dublin St, Missoula, MT 59808 | 2017-01-10 |
1942603287 | Benjamin Cody Mcintosh | Chiropractor | 1070 N. Russell St., Missoula, MT 59808 | 2014-10-01 |
1518219617 | Pure Medical Inc | Ambulance | 5515 Bonanza Place, Missoula, MT 59808 | 2012-10-12 |
1932462231 | Kathleen F Calcagno | Specialist/Technologist | 2615 Connery Way, Suite 2b, Missoula, MT 59808 | 2012-06-21 |
1639454127 | Dentyn Dunaway | Pharmacist | 2527 N Reserve Street, Missoula, MT 59808 | 2011-10-15 |
1750557690 | Carl Thornblade, Md, Pllc | Allergy & Immunology | 2801 Great Northern Loop Ste 101, Missoula, MT 59808 | 2008-04-30 |
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Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598965097 | Travis Lee Harris | Physician Assistant | 500 W. Broadway, Suite 320, St. Patrick Hospital, Missoula, MT 59802-4008 | 2007-07-23 |
1437541471 | Stephen Andrew Shepro | Physician Assistant | 2740 South Ave W Ste 101, Missoula, MT 59804-5137 | 2015-02-27 |
1790754463 | Jerry J King | Physician Assistant | 2831 Fort Missoula Rd, Suite 232, Missoula, MT 59804-7419 | 2006-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457576407 | Rosalee Shorter | Physician Assistant | 341 Montana Hwy 135, Saint Regis, MT 59866-0176 | 2007-04-16 |
1245341874 | Tracy Edward Rogers | Physician Assistant | 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 | 2006-08-31 |
1881604668 | Harley G Morrell | Physician Assistant | 2877 Overland Ave Ste C, Billings, MT 59102-7465 | 2006-08-08 |
1487644597 | Timothy J Devries | Physician Assistant | 111 Sunnyview Ln, Kalispell, MT 59901-3164 | 2005-10-28 |
1447802178 | Reid Merrill Gage | Physician Assistant | 801 N 29th St, Billings, MT 59101-0905 | 2019-07-12 |
1083192025 | Tyson Vanderby | Physician Assistant | 2675 Central Ave, Billings, MT 59102-6686 | 2018-08-01 |
1205384690 | Christine Moen | Physician Assistant | 2900 12th Ave N, Suite 355w, Billings, MT 59101-7506 | 2016-09-14 |
1174973564 | Jacob Wheeler | Physician Assistant | 925 Highland Blvd Ste 1100, Bozeman, MT 59715-6900 | 2016-06-15 |
1427414440 | Kara Haskell | Physician Assistant | 1450 Ellis St, #201, Bozeman, MT 59715 | 2016-01-06 |
1346642667 | Jennifer Vollmer | Physician Assistant | 1450 Ellis St Ste 201, Bozeman, MT 59715-8813 | 2014-09-17 |
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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.