DR. TIPHANY ALEXANDREA JOLLY (NPI# 1427321892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427321892 |
| Entity Type | Individual |
| Full Name | DR. TIPHANY ALEXANDREA JOLLY |
| Credential | M.D. |
| Practice Address |
30 Shelburne Road Stamford CT 06902 |
| Mailing Address |
30 Shelburne Rd Stamford CT 06902-3628 |
| Practice Telephone | 2032767777 |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2013-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 051495 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
30 SHELBURNE ROAD |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508809161 | Maria Brea | Emergency Medicine | 30 Shelburne Road, Stamford, CT 06904 | 2006-06-13 |
| 1235525650 | Marissa Novack | Student in an Organized Health Care Education/Training Program | 30 Shelburne Road, Stamford, CT 06904 | 2015-04-13 |
| 1003202425 | Kristin Mccoy | Student in an Organized Health Care Education/Training Program | 30 Shelburne Road, Stamford, CT 06904 | 2015-04-13 |
| 1528369907 | Michele L. Nelson-wilkins | Nurse Practitioner | 30 Shelburne Road, Stamford, CT 06904 | 2010-11-16 |
| 1336479898 | Joseph Elassal | Internal Medicine | 30 Shelburne Road, Stamford, CT 06904 | 2010-01-06 |
| 1215162433 | Krystal A. Franklin | Surgery | 30 Shelburne Road, Stamford Hospital, Stamford, CT 06904-9317 | 2009-05-18 |
| 1932357548 | Chinyelu Enuma Oraedu | Internal Medicine | 30 Shelburne Road, Stamford, CT 06904 | 2008-09-08 |
| 1275792756 | Sarah Clark | Genetic Counselor, MS | 30 Shelburne Road, Stamford Hospital Dept Mfm, Stamford, CT 06904-9317 | 2008-06-09 |
| 1881607687 | Draupathi E Nambudiri | Psychiatry & Neurology | 30 Shelburne Road, Stamford, CT 06904 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043242 | Palak Bhambri | Pharmacist | 537 Canal Street, Stamford, CT 06902 | 2019-09-26 |
| 1730654815 | Brenice Duroseau | Nurse Practitioner | 292 Long Ridge Rd Ste 202, Stamford, CT 06902 | 2018-10-04 |
| 1447732862 | Ngoc Lam | Pharmacist | 1990 West Main Street, Stamford, CT 06902 | 2018-09-01 |
| 1336627264 | Margaret F Gorelick | Nurse Practitioner | Stamford Health, One Hospital Plaza, Stamford, CT 06902 | 2018-08-02 |
| 1174053425 | Ashley Marie Santana | Social Worker | 110 Commons Park N Apt 1158, Stamford, CT 06902 | 2017-06-19 |
| 1578090395 | Anas Al-sabbagh | Dentist | 1 Strawberry Hill Court Suite L7 Stamford, Connecticut, Stamford, CT 06902 | 2017-05-11 |
| 1154862936 | Hillary Rubin | Psychologist | 44 Commerce Avenue, Stamford, CT 06902 | 2017-03-14 |
| 1801332135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Hospital Plz Ste G122, Stamford, CT 06902 | 2017-01-10 |
| 1932563277 | Mary Hurtadodemendoza | Pharmacist | 59 Courtland Ave 2m, Stamford, CT 06902 | 2016-04-13 |
| 1235592247 | Advanced Therapy and Performance LLC | Physical Medicine & Rehabilitation | 75 Selleck Street, Stamford, CT 06902 | 2016-03-29 |
| Find all providers in zip 06902 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669512570 | Dorothy M Turnbull | Emergency Medicine | 30 Shelburne Rd At West Broad Street, Stamford, CT 06904 | 2007-02-08 |
| 1366527251 | Scott Raymond Martin | Emergency Medicine | 29 Hospital Plz Ste 502, Stamford, CT 06902-3602 | 2006-10-26 |
| 1508809161 | Maria Brea | Emergency Medicine | 30 Shelburne Road, Stamford, CT 06904 | 2006-06-13 |
| 1982139523 | Michael Francois | Emergency Medicine | 1 Hospital Plz, Stamford, CT 06902-3602 | 2017-04-20 |
| 1760856306 | Clinic 21 of Connecticut LLC | Emergency Medicine | 2001 W Main St, #100, Stamford, CT 06902-4501 | 2015-11-19 |
| 1134563349 | Richard Katz | Emergency Medicine | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2013-04-18 |
| 1093023434 | Sarah Marie Vitello | Emergency Medicine | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2010-09-20 |
| 1790932234 | Amy Gandhi | Emergency Medicine | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2008-08-27 |
| 1023213717 | Alexandr Rafailov | Emergency Medicine | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2007-06-20 |
| 1689879082 | Jason Adam Fischel | Emergency Medicine | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2007-06-18 |
| Find all providers in STAMFORD | ||||
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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.