Janis K Dolan, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9102295 Issued in FL

Practice address

9240 Bonita Beach Rd SE
Suite 1106
Bonita Springs, FL 34135-4249

Phone

(239) 495-6200

Fax

(239) 495-6247

NPI assigned

Oct 18, 2006

Last updated

Feb 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1477634111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 BONITA BEACH RD SE",
            "address_2": "SUITE 1106",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354249",
            "telephone_number": "239-495-6200",
            "fax_number": "239-495-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 BONITA BEACH RD SE",
            "address_2": "SUITE 1106",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354249",
            "telephone_number": "239-495-6200",
            "fax_number": "239-495-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "JANIS",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Douglass Orthopedic & Spine Rehabilitation, Inc.

• Medical Physician Assistant in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.