JENORA H JOLLY (NPI# 1760537815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760537815 |
Entity Type | Individual |
Full Name | JENORA H JOLLY |
Credential | M.D. |
Practice Address |
3190 N Swan Rd Tucson AZ 85712-1227 |
Mailing Address |
5055 E Broadway Blvd A-100 Tucson AZ 85711-3640 |
Practice Telephone | 5205479700 |
Practice Fax Number | 5205479717 |
Mailing Telephone | 5203270460 |
Mailing Fax Number | 5207950225 |
Enumeration Date | 2007-01-25 |
Last Update Date | 2012-02-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 44155 | AZ | Allopathic & Osteopathic Physicians |
N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
44155 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | AHCCCS | 587584 | 01 |
AZ | MEDICARE PTAN | Z143258 | 01 |
Street Address |
3190 N SWAN RD |
City | TUCSON |
State | AZ |
Zip Code | 85712-1227 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780677492 | Mireille C Algazi | Specialist | 3190 N Swan Rd, Tucson, AZ 85712-1227 | 2005-08-26 |
1902276124 | Gina Montano | Nurse Practitioner | 3190 N Swan Rd, Tucson, AZ 85712-1227 | 2015-09-30 |
1487917308 | Nisha Patel | Family Medicine | 3190 N Swan Rd, Tucson, AZ 85712 | 2012-06-18 |
1841448453 | Amy Lynn Bauer | Nurse Practitioner | 3190 N Swan Rd, Tucson, AZ 85712-1227 | 2008-09-08 |
1386837060 | Sydney Lazarus | Internal Medicine | 3190 N Swan Rd, Tucson, AZ 85712-1227 | 2007-08-24 |
1851435978 | Arizona Community Physicians PC | Clinic/Center | 3190 N Swan Rd, Tucson, AZ 85712-1227 | 2007-02-20 |
1962567420 | Kathryn J. Rose | Physician Assistant | 3190 N Swan Rd, Tucson, AZ 85712-1227 | 2006-12-26 |
1720147812 | Bonnie D Forbis | Advanced Practice Midwife | 3190 N Swan Rd, Tucson, AZ 85712-1227 | 2006-12-06 |
1619035888 | Sandra M Dostert | Family Medicine | 3190 N Swan Rd, Tucson, AZ 85712-1227 | 2006-12-04 |
1730128471 | Timothy C Fagan | Internal Medicine | 3190 N Swan Rd, Tucson, AZ 85712 | 2006-06-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
Find all providers in zip 85712 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427679406 | Mario Jaramillo | Internal Medicine | 2800 East Ajo Way Ste 100, Tucson, AZ 85724-5040 | 2020-05-01 |
1821633926 | Arunmozhi Dominic | Internal Medicine | 899 N Wilmot Rd # Az, Tucson, AZ 85711-1714 | 2019-11-12 |
1437612835 | Michele Amanda Relton Obert | Internal Medicine | 1501 N Campbell Ave Rm 6336i, Tucson, AZ 85724-5040 | 2019-04-11 |
1669935441 | Mei Lai So | Internal Medicine | 1501 N Campbell Ave Ste 6336, Tucson, AZ 85724-0001 | 2019-04-09 |
1255824363 | Sooraj Kumar | Internal Medicine | 2800 E Ajo Way Ste 100, Tucson, AZ 85713-6204 | 2018-06-13 |
1356832125 | Samuel Long | Internal Medicine | 5301 E Grant Rd Ofc, Tucson, AZ 85712-2805 | 2018-05-28 |
1295225399 | Ling Yi Obrand | Internal Medicine | Banner Health 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2018-05-14 |
1306335161 | Bhargav Patel | Internal Medicine | 1501 N Campbell Ave Rm 636, Tucson, AZ 85724-0001 | 2018-05-08 |
1316436975 | Rita Wadeea | Internal Medicine | 1501 N Campell Ave Room 6336, Tucson, AZ 85724-0001 | 2018-05-08 |
1881183143 | Bradley Bohman | Internal Medicine | 1501 N. Campbell Ave, Room 6336, Tucson, AZ 85724 | 2018-05-02 |
Find all providers in TUCSON |
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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.