JESSE JEFFREY DOLL


Address: 2360 Mullan Rd, Ste C, Missoula, MT 59808-1811
Phone: 4067214436

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 2360 MULLAN RD
STE C
City MISSOULA
State MT
Zip Code 59808-1811

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City MISSOULA
Zip Code 59808

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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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