Jennifer E Boll MD Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

36586 Issued in AZ

Legal business name

JENNIFER E BOLL MD INC

Practice address

2034 E Southern Ave Ste Y
Tempe, AZ 85282-7519

Phone

(480) 833-5200

Fax

(480) 833-2967

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Elizabeth Boll, M.D.NPI 1780664243

Title

Plastic Surgeon

Phone

(480) 833-5200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer E Boll, M.D.

  • Plastic Surgery Physician
  • Tempe, AZ
  • NPI 1780664243
  Medicare reassignment NPD Authorized official
• Herbert H Bunchman II, M.D.

  • Specialist
  • Mesa, AZ
  • NPI 1487633186
  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1598950727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 E SOUTHERN AVE STE Y",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827519",
            "telephone_number": "480-833-5200",
            "fax_number": "480-833-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 E SOUTHERN AVE STE Y",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827519",
            "telephone_number": "480-833-5200",
            "fax_number": "480-833-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER E BOLL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "BOLL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PLASTIC SURGEON",
        "authorized_official_telephone_number": "480-833-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "36586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alema Jenkins
• Anna Jenkins
• Coquece Jenkins
• Haley Jenkins
• Sarah Anne Jenkins, MC, LPC
• Jennifer Johnstad LLC
• Jennifer K Bradley, PSYD LLC
• Bodrie J Jensen, DO
• Nevin Jensen, DMD
• Rebecca Jensen, LPC

• Plastic Surgery Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Plastic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.