Tarun Jolly, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

025631 Issued in LA

Practice address

231 W Esplanade Ave
Suite B
Kenner, LA 70065-2459

Phone

(504) 754-2334

Fax

(504) 324-2078

NPI assigned

Jul 16, 2006

Last updated

Aug 10, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

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 Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Louisiana Pain Specialists, LLC

  • Interventional Pain Medicine Physician
  • Metairie, LA
  • NPI 1871823740
  Medicare reassignment NPD
• Animo Lab Services LLC

  • Clinical Pathology/Laboratory Medicine Physician
  • Marrero, LA
  • NPI 1386297919
  NPD (past) Authorized official
• Louisiana Pain Specialists, LLC

  • Interventional Pain Medicine Physician
  • New Orleans, LA
  • NPI 1922810696
  NPD
• Cormeum Lab Services LLC

  • Clinical Medical Laboratory
  • Saint Rose, LA
  • NPI 1285287821
  NPD (past)
• Crescent View Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Metairie, LA
  • NPI 1508209743
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1275550071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 WICHERS DR",
            "address_2": "SUITE 205",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723135",
            "telephone_number": "504-754-2334",
            "fax_number": "504-324-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W ESPLANADE AVE",
            "address_2": "SUITE B",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652459",
            "telephone_number": "504-754-2334",
            "fax_number": "504-324-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "TARUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "MD.025631",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "LA",
            "license": "025631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1047104",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04658549",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juanita Louise Johnson, LCSW-BACS
• Julie Johnson
• Logan N. Johnson, DDS
• Jennifer Kristin Johnston, PHD
• Suneil Jolly, M.D.
• Brandi K Jones, MD
• Christine Widdows Jordan, M.D.
• Joseph a. Stagni, DC, LLC
• Joseph M Gautreaux, MD
• Juanitas Transportation LLC

• Interventional Pain Medicine Physician in Kenner, LA
• Providers in Kenner, LA by specialty
• Interventional Pain Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.