Richard W Jolly, OD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24851 Issued in CO

Practice address

799 E Hampden Ave
Suite 300
Englewood, CO 80113-2700

Phone

(303) 493-5200

Fax

(720) 570-2012

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: richard.jolly.1@24476.direct.athenahealth.com

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1194732040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "80151",
            "telephone_number": "303-493-5200",
            "fax_number": "720-570-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 E HAMPDEN AVE",
            "address_2": "SUITE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132700",
            "telephone_number": "303-493-5200",
            "fax_number": "720-570-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "RICHARD",
        "middle_name": "W",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "24851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01248517",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Johnson, LMFT
• Taylor Johnson
• Tim R Johnson, PAC
• Wayne William Johnson, PA
• Marva Lynn Jolly, MNT
• Craig C Jonas, MD
• Rebecca Jean Jonell, OTR/L
• Benjamin Jones, LMFT
• Crystal Jones, ANP
• Daniel P. Jones, MD

• Family Medicine Physician in Englewood, CO
• Providers in Englewood, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.