Paul R Jolles, M.D.

Primary specialty

Nuclear Radiology PhysicianTaxonomy code 2085N0904X

License

0101047599 Issued in VA

Practice address

1250 E Marshall Street
Radiology
Richmond, VA 23298-0470

Phone

(804) 828-8262

Fax

(804) 828-6129

NPI assigned

Oct 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• MCV Associated Physicians

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1710959457
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366536815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 91734",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232911734",
            "telephone_number": "804-358-6100",
            "fax_number": "804-342-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E MARSHALL STREET",
            "address_2": "RADIOLOGY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232980470",
            "telephone_number": "804-828-8262",
            "fax_number": "804-828-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLES",
        "first_name": "PAUL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "VA",
            "license": "0101047599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007245050 541581185",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David R Johnston, OD
• Kathryn Driver Johnston, FNP-BC
• Margaret Copland Johnston, FNP-BC
• Shari Johnston, CCC-SLP
• Shilpa Johri, MD
• Gurbani Jolly, MD
• Kelly Jonard
• Jonathan Vu Chiropractic LLC
• Sarah Layton Jones Boyle, NP
• Jones Family and Cosmetic Dentistry

• Nuclear Radiology Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Nuclear Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.