JEFF P JOLLY PA
NPI 1841297744
Physician Assistant in Longview,


Quality Rating: 100 out of 100 score

NPI Status: Active since July 7, 2005

Contact Information

1615 Delaware St
Longview,
Post Code: 98632
Phone: (360) 414-2360
Fax: (360) 414-2361

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Jeff P Jolly Pa in Longview - Physician Assistant

Jeff P Jolly Pa is a Physician Assistant in Longview, . Jeff P Jolly Pa practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeff P Jolly Pa is 1841297744. The last update date is 2007-07-08.

Jeff P Jolly Pa's current location address is 1615 Delaware St, Longview, . You can contact this provider via phone number (360) 414-2360 and fax number (360) 414-2361. The mailing address for Jeff P Jolly Pa is 1615 Delaware St, Longview, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1841297744
Provider Name
JEFF P JOLLY PA
Gender
Male
Entity Type
Individual
Location Address
1615 Delaware St, Longview,
Location Phone
(360) 414-2360
Location Fax
(360) 414-2361
Mailing Address
Po Box 249, Longview, Washington(WA)
Mailing Phone
360-414-2000
Mailing Fax
-
Enumeration Date
2005-07-07
Last Update Date
2007-07-08
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
-
License No.
PA10002542
License State
Washington (WA)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
134929 Other (non-Medicare) (01) Washington (WA) Labor & Ind.
8324048 MEDICAID (05) Washington (WA)
8908756 Other (non-Medicare) (01) Washington (WA) Crime Victims
970011079 Other (non-Medicare) (01) () RR Medicare

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1841297744
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2881491478
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2881491478
2 + 8 + 8 + 1 + 4 + 9 + 1 + 4 + 7 + 8 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 4 4

The NPI number 1841297744 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841296886 DENISE MARIE HALASZ
Individual
Nurse Practitioner 2310 CLARK RD
FORT LEWIS, Washington (WA)
253-962-2736
1841296803 LORI DELIGHT JOHNSON
Individual
Chiropractor 1420 ROOSEVELT AVE STE 7
MOUNT VERNON, Washington (WA)
360-941-0505
1841295870 BRIAN A. KENDREGAN
Individual
Specialist 1400 E. KINCAID STREET
MOUNT VERNON, Washington (WA)
360-428-2500
1841295615 DIANA E. VELIKOVA
Individual
Internal Medicine 2555 MARVIN RD NE
LACEY, Washington (WA)
360-923-4600
1841295540 CHESTERFIELD PHARMACY
Organization
Durable Medical Equipment & Medical Supplies 2301 E UNION ST
SEATTLE, Washington (WA)
206-323-0147