SAMUEL JOLLEY


Address: 911 E 20th St Ste 700, Sioux Falls, SD 57105-1049
Phone: 6053340393

SAMUEL JOLLEY (NPI# 1336798222) 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) 1336798222
Entity Type Individual
Full Name SAMUEL JOLLEY
Credential PA-C
Practice Address 911 E 20th St Ste 700
Sioux Falls
SD 57105-1049
Practice Telephone 6053340393
Mailing Telephone 6053340393
Enumeration Date 2019-09-04
Last Update Date 2019-09-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 1210 SD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 911 E 20TH ST STE 700
City SIOUX FALLS
State SD
Zip Code 57105-1049

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760578975 Dustin L Smoot Surgery 911 E 20th St Ste 700, Sioux Falls, SD 57105-1049 2006-10-05
1891346136 Nicole Goodroad Nurse Practitioner 911 E 20th St Ste 700, Sioux Falls, SD 57105-1049 2019-09-27
1811546385 Lindsey Nicole Bouma Physician Assistant 911 E 20th St Ste 700, Sioux Falls, SD 57105-1049 2019-09-08
1821641788 Zachary Lee Schroer Nurse Practitioner 911 E 20th St Ste 700, Sioux Falls, SD 57105-1049 2019-07-19
1346732294 Ashley Elaine Hofer Registered Nurse 911 E 20th St Ste 700, Sioux Falls, SD 57105-1049 2018-06-05
1225550395 Christopher John Watt Physician Assistant 911 E 20th St Ste 700, Sioux Falls, SD 57105-1049 2017-07-11
1033548854 Wade Robert Sendelbach Emergency Medical Technician, Paramedic 911 E 20th St Ste 700, Sioux Falls, SD 57105-1049 2013-11-02
1700171162 Jesse Guardado Colon & Rectal Surgery 911 E 20th St Ste 700, Sioux Falls, SD 57105-1049 2011-06-14
1750680286 Michael Joseph Brozik Surgery 911 E 20th St Ste 700, Sioux Falls, SD 57105 2011-03-23
1467681684 Emily Elizabeth Murphy Surgery 911 E 20th St Ste 700, Sioux Falls, SD 57105 2009-07-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871117549 Ashlesha Ravindra Bagwe Student in an Organized Health Care Education/Training Program Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 2020-05-29
1306494489 Kelsey Elaine Kruse Counselor 3101 West 41st, Sioux Falls, SD 57105 2019-08-30
1902388341 Sarah Tacke Nurse Practitioner 1301 West 18th Street, Sioux Falls, SD 57105 2018-09-02
1235624727 Mahum Shahid Student in an Organized Health Care Education/Training Program 1400 W. 22nd St, Sioux Falls, SD 57105 2018-06-27
1942790126 Smitha Narayana Gowda Student in an Organized Health Care Education/Training Program 1400 22nd Street, Sioux Falls, SD 57105 2018-05-14
1326538554 Mali Elizabeth Teller Speech-Language Pathologist 2501 W. 26th Street, Sioux Falls, SD 57105 2018-05-14
1871081505 Abdelmohaymin Abdalla Abufatima Abdalla Student in an Organized Health Care Education/Training Program Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 2018-04-27
1710474697 Moataz Ellithi Student in an Organized Health Care Education/Training Program 1400 W. 22nd St., Sioux Falls, SD 57105 2018-04-17
1366948663 Holly Ahlers Registered Nurse 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 2018-04-04
1558864124 Darcy Lee Jensen Counselor 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 2018-03-09
Find all providers in zip 57105

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124627898 Mikaela Theobald Physician Assistant 6101 E Quartzite Dr, Sioux Falls, SD 57110-3988 2020-10-22
1467064097 Kara Rae Koth Physician Assistant 4913 E 42nd St, Sioux Falls, SD 57110-4409 2020-08-17
1528695798 Allison Mcentee Physician Assistant 3620 East Prairiewind Street, Sioux Falls, SD 57108 2020-03-26
1326608910 Ashley Pommer Physician Assistant 8232 W 51st St, Sioux Falls, SD 57106-7861 2019-06-17
1225550908 Almir Krdzalic Physician Assistant 110 W Honors St, Sioux Falls, SD 57108-8174 2017-07-13
1598160335 Heidi Jo Vogel Physician Assistant 1417 S Cliff Avenue, Suite 200, Sioux Falls, SD 57105 2014-10-22
1639507882 Kelsey Isaacson Physician Assistant 4201 S Minnesota Ave, Suite 112, Sioux Falls, SD 57105-6705 2013-10-25
1033551114 Karissa G Zimmer Physician Assistant 2315 W. 57th Street, Suite 300, Sioux Falls, SD 57108 2013-07-18
1740623065 Nicolette Schmuck Physician Assistant 1500 W 22nd St Ste 302, Sioux Falls, SD 57105-1599 2013-04-17
1023389392 Leah Ayn Mergen Physician Assistant 521 N Main Ave Ste 100, Sioux Falls, SD 57104-5947 2012-01-19
Find all providers in SIOUX FALLS

Competitor

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City SIOUX FALLS
Zip Code 57105

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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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