Active NPI
Jolinda R Dillow, M.D.
- Dermatology Physician
- Ashland, KY
National Provider Identifier
1881627537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 32439
- Practice address
- 336 29TH St
Suite 201
Ashland, KY 41101-1900 - Phone
- (606) 324-0051
- Fax
- (606) 325-2244
- NPI assigned
- Jul 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 32439 | KY | Primary |
Addresses
Primary practice location
336 29TH St
Suite 201
Ashland, KY 41101-1900
Mailing address
PO Box 2059
Ashland, KY 41105-2059
Phone (606) 324-0051
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65930992 | Medicaid | KY | |
| 000000052094 | Other | ANTHEM | |
| 5970147 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881627537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2059",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411052059",
"telephone_number": "606-324-0051",
"fax_number": "606-325-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 29TH ST",
"address_2": "SUITE 201",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411011900",
"telephone_number": "606-324-0051",
"fax_number": "606-325-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLOW",
"first_name": "JOLINDA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "KY",
"license": "32439",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65930992",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000052094",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5970147",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- 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.