JO ANN N BOLLI (NPI# 1134198526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134198526 |
| Entity Type | Individual |
| Full Name | JO ANN N BOLLI |
| Credential | M.D. |
| Practice Address |
308 S Washington St Clinton KY 42031-1340 |
| Mailing Address |
627 Asheville Hwy Greeneville TN 37743-5401 |
| Practice Telephone | 2702543021 |
| Practice Fax Number | 2702543023 |
| Mailing Telephone | 4236261521 |
| Mailing Fax Number | 4236261523 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2016-12-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
43737 | TN | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 43737 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS | 4143318 | 01 |
| KY | BCBS | 000000502868 | 01 |
| TN | 4046827 | 05 |
| Street Address |
308 S WASHINGTON ST |
| City | CLINTON |
| State | KY |
| Zip Code | 42031-1340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003153321 | Jo-ann N. Bolli, M. D., P.s.c. | Clinic/Center | 308 S Washington St, Suite 201, Clinton, KY 42031-1340 | 2013-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780102301 | Communtiy Healthcare of Western Kentucky LLC | Clinic/Center | 308 South Washington Street Suite 200, Clinton, KY 42031 | 2017-09-04 |
| 1053569442 | Hickman County High School Clinic | Public Health or Welfare | 301 East Cresap Street, Clinton, KY 42031 | 2008-08-28 |
| 1437186657 | Purchase District Health Dept | Public Health or Welfare | 370 S Washington Street, Clinton, KY 42031 | 2006-06-26 |
| 1104800101 | Arbor Place of Clinton | Skilled Nursing Facility | 106 Padgett Drive, Clinton, KY 42031 | 2005-12-02 |
| 1902954118 | Clinton-hickman County Ambulance Service Inc | Ambulance | 324 James H Phillips Dr, Clinton, KY 42031-0083 | 2007-01-07 |
| 1568902427 | Clinton Pharmacy LLC | Pharmacy | 119 E Clay St, Clinton, KY 42031-1222 | 2017-02-26 |
| 1932131356 | Byassee Drug Company Inc | Durable Medical Equipment & Medical Supplies | 107 E Clay St, Clinton, KY 42031-1222 | 2006-07-07 |
| 1174087647 | Clinton Pharmacy LLC | Pharmacy | 119 E Clay St, Clinton, KY 42031-1222 | 2019-01-29 |
| 1205048873 | John Garland Byassee | Pharmacist | 107 E Clay St, Clinton, KY 42031-1222 | 2007-05-04 |
| 1275617755 | Perkins Pharmacy | Durable Medical Equipment & Medical Supplies | 119 E Clay St, Clinton, KY 42031-1222 | 2006-10-24 |
| Find all providers in zip 42031 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835684 | Rosemond Dickson Bartels, Crnp, LLC | Obstetrics & Gynecology | 9131 Piscataway Rd, Clinton, MD 20735-2508 | 2019-01-23 |
| 1205324225 | Min-obgyn of Maryland PC | Obstetrics & Gynecology | 10401 Hospital Drive, Suite 103, Clinton, MD 20735 | 2018-04-25 |
| 1760706154 | Sampson Regional Professional Services LLC | Obstetrics & Gynecology | 603 Beaman St, Suite 501, Clinton, NC 28328-2650 | 2010-03-15 |
| 1235269234 | Gene Whang | Obstetrics & Gynecology | 40 Pittstown Rd, Clinton, NJ 08809-1209 | 2007-03-07 |
| 1316090855 | Ebenezer Nettey | Obstetrics & Gynecology | 10401 Hospital Drive, Suite 103, Clinton, MD 20735 | 2007-01-19 |
| 1841351772 | Francis De Graft Dickson | Obstetrics & Gynecology | 10401 Hospital Drive, Suite 103, Clinton, MD 20735 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043638620 | Adair County Hospital District | Obstetrics & Gynecology | 902 Westlake Dr Ste 107, Columbia, KY 42728-1149 | 2014-04-01 |
| 1831465822 | Jere Calvin Robertson Sr. | Obstetrics & Gynecology | 608 Deepwood Dr, Hopkinsville, KY 42240-1226 | 2012-03-24 |
| 1326354549 | William Florent Brassine | Obstetrics & Gynecology | 625 Eldorado Drive, Elizabethtown, KY 42701 | 2010-08-25 |
| 1700071560 | Mark J. Yurchisin | Obstetrics & Gynecology | 720 2nd Ave Ste 202, Bowling Green, KY 42101-1778 | 2007-09-13 |
| 1831247345 | Southern Women's Care Obstetrics & Gynecology, Pllc | Obstetrics & Gynecology | 67 Kingswood Dr Ste A, Campbellsville, KY 42718-9647 | 2007-01-08 |
| 1831268572 | Dennis R. Faulkner | Obstetrics & Gynecology | 347 Bogle St Ste A, Somerset, KY 42503-2873 | 2006-11-07 |
| 1851480008 | Bernard L Hayden | Obstetrics & Gynecology | 3929 Old Us Hwy 45 South, Paducah, KY 42003 | 2006-10-12 |
| 1124119946 | William Francis Sweeney | Obstetrics & Gynecology | 311 A Radio Park Dr, Richmond, KY 40475 | 2006-09-27 |
| 1902906092 | George M Kudmani | Obstetrics & Gynecology | 9822 3rd Street Rd, Suite 306, Louisville, KY 40272-2847 | 2006-09-25 |
| 1578663043 | Dennis Gerald Shoff | Obstetrics & Gynecology | 1310 Woodland Drive, Elizabethtown, KY 42701 | 2006-09-25 |
| Find all providers with the same taxonomy | ||||
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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.