JOLLY THOMAS


Address: 1600 W Girard Ave, Philadelphia, PA 19130-1615
Phone: 2157879000

JOLLY THOMAS (NPI# 1376914184) 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) 1376914184
Entity Type Individual
Full Name JOLLY THOMAS
Practice Address 1600 W Girard Ave
Philadelphia
PA 19130-1615
Mailing Address 1733 Bergen St
Philadelphia
PA 19152-1811
Practice Telephone 2157879000
Mailing Telephone 2672374350
Enumeration Date 2015-10-20
Last Update Date 2018-03-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN587335 PA Nursing Service Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
SP015375 PA Physician Assistants & Advanced Practice Nursing Providers

Other Providers JOLLY THOMAS

NPI Name Taxonomy Address Enumeration
1033777826 Jolly Maria Thomas Nurse Practitioner 1867 Anthony Nane Ct, Lawrenceville, GA 30043-3991 2019-06-05
1790862100 Jolly Thomas Pediatrics 18 Morris Ave Ste 2a, Springfield, NJ 07081-1455 2006-11-01
1992717417 Jolly Thomas Family Medicine 801 E. Dixie Avenue, Suite 101, Leesburg, FL 34748 2006-08-13
1811961519 Jolly Thomas Nurse Practitioner 1936 Amelia Ct, Geriatric Center & Senior Services, Dallas, TX 75235-7706 2006-02-17

Office Location

Street Address 1600 W GIRARD AVE
City PHILADELPHIA
State PA
Zip Code 19130-1615

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376535997 Neil J Berger Radiology 1600 W Girard Ave, Philadelphia, PA 19130-1615 2005-08-19
1619383460 Jennifer Minkovich Family Medicine 1600 W Girard Ave, Philadelphia, PA 19130-1615 2014-07-01
1801150800 Janet J Kinkead Family Medicine 1600 W Girard Ave, Philadelphia, PA 19130-1615 2012-06-25
1073819967 Delaware Valley Community Health, Inc. Clinic/Center 1600 W Girard Ave, Suite 201, Philadelphia, PA 19130-1615 2011-02-10
1689986929 Iva Alyxander Hacker-delany Emergency Medicine 1600 W Girard Ave, Philadelphia, PA 19130-1615 2010-07-01
1407183122 Tara Iaquinto Corrigan Physician Assistant 1600 W Girard Ave, Philadelphia, PA 19130-1615 2009-11-17
1538336466 Mani Medical Services LLC Internal Medicine 1600 W Girard Ave, 2nd Floor, Philadelphia, PA 19130-1615 2008-05-09
1568687465 Robert Walker Nurse Anesthetist, Certified Registered 1600 W Girard Ave, Philadelphia, PA 19130-1615 2007-04-16
1699796458 Christopher Damanda Internal Medicine 1600 W Girard Ave, Philadelphia, PA 19130 2006-07-21
1669498549 Elena Karzova Psychiatry & Neurology 1600 W Girard Ave, Philadelphia, PA 19130-1615 2006-07-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912518226 Karen Dybner-madero Psychologist 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 2020-08-11
1689213456 Nora Marie Corbett Physical Therapist 1714 Fairmount Avenue, Philadelphia, PA 19130 2019-12-27
1104470665 Thibault Counseling LLC Clinic/Center 2049 North Street, Philadelphia, PA 19130 2019-08-01
1619444577 Rebecca Boova Dietitian, Registered 1644 Francis St, #3, Philadelphia, PA 19130 2018-10-30
1184191108 Sharon Marie Thompson Nurse Practitioner School District of Philadelphia/school Health Services, 440 North Broad Street, Philadelphia, PA 19130 2018-10-29
1861918542 Theresa Mary Thompson Dental Hygienist Delaware Valley Community Health, 1412 Fairmount Avenue, Philadelphia, PA 19130 2017-08-15
1023539806 Marina France Social Worker 2401 Pennsylvania Ave Ste 1a2, Philadelphia, PA 19130 2017-06-30
1619425063 Sarah Nash Dietitian, Registered 420 North 20th Street, Philadelphia, PA 19130 2016-09-14
1154737757 Julia Ferrence Social Worker 2305 Fairmount Avenue, Philadelphia, PA 19130 2014-07-03
1811319924 Larry H Goldberg Internal Medicine 2441 Olive Street, Philadelphia, PA 19130 2014-01-08
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841834710 Joseph Mascaro Nurse Practitioner 125 S 9th St Ste 1005, Philadelphia, PA 19107-5123 2019-11-04
1780185835 Neva White Nurse Practitioner 211 S 9th St Ste 300, Philadelphia, PA 19107-6810 2018-02-23
1790298487 Anne Kathryn Henner Nurse Practitioner 925 Chestnut St Ste 420a, Philadelphia, PA 19107-4247 2017-11-16
1174052997 Cynthia Wheeler Nurse Practitioner 925 Chestnut St # 421d, Philadelphia, PA 19107-4216 2017-06-06
1740716893 Liliya Gurevich Nurse Practitioner 7906 Frontenac St, Philadelphia, PA 19111-2902 2017-05-11
1235589664 Juliana Omile Nurse Practitioner 7521 Woodcrest Ave, Philadelphia, PA 19151-2702 2016-06-16
1275980468 Joji Thomas Nurse Practitioner 9659 Sandanne Rd, Philadelphia, PA 19115-2727 2016-05-18
1073988374 Cristhi Wilson-brown Nurse Practitioner 521 W Girard Ave, Philadelphia, PA 19123-1428 2015-12-11
1932579984 Tierney A Fisher Nurse Practitioner 3737 Market St Fl 10, Philadelphia, PA 19104-5545 2015-10-03
1306223813 Anthony Yaroslav Fisun Nurse Practitioner 2008 President St, Philadelphia, PA 19115-2607 2015-05-04
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Competitor

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City PHILADELPHIA
Zip Code 19130

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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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