Jolley Physician Services

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JOLLEY PHYSICIAN SERVICES

Practice address

355 S Palisades Dr
Orem, UT 84097-5739

Phone

(323) 803-8480

NPI assigned

Sep 18, 2014

Last updated

Mar 26, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael B Jolley, MD

Title

Owner

Phone

(323) 803-8480

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1124420492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 S PALISADES DR",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840975739",
            "telephone_number": "323-803-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 S PALISADES DR",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840975739",
            "telephone_number": "323-803-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLLEY PHYSICIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "JOLLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-803-8480",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Torrie Johnson
• Arlene Johnston, DNP-FNP-C
• Christina Cowley Johnston, LCSW
• Dilan Andres Johnston
• Hannah Johnston
• Megan Jolley
• Zane H Jolley
• Jon B Bishop M D P C
• Jon Voigt Counseling
• Amanda Lee Jones, APRN

• Internal Medicine Physician in Orem, UT
• Providers in Orem, UT by specialty
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.