Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407907504 Individual Practitioner Male Practitioner

Dr. Timothy B Jolley , MD

General Practice • Puyallup, WA

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Jolley, MD is a registered healthcare professional specializing in General Practice in Puyallup, WA. Practice services are available at 1322 3RD ST SE STE 240 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1322 3rd St Se Ste 240

Puyallup, WA 983723771

Telephone 2538481572
Fax 2538413719
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Puyallup, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.0 Yrs
State Avg: 30.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Puyallup, WA (423 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License WA MD00015352

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License WA MD00015352

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1001502 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Tori Kornelsen , MB BCH BAO

Student in an Organized Health Care Education/Training Program

NPI 1023740081

MBBCHBAO

NPI 1073731006

Doctor of Medicine (M.D.)

NPI 1083298608

Doctor of Medicine (M.D.)

Dr. Mathew Dickson , DO

Student in an Organized Health Care Education/Training Program

NPI 1093402794

Doctor of Osteopathic Medicine (D.O.)

Dr. Brian Lay , DO

Family Medicine

NPI 1114362027

Doctor of Osteopathic Medicine (D.O.)

Dr. Keanna Worthy , DO

Family Medicine

NPI 1124684451

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 16, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location February 16, 2011

Registered at 1322 3RD ST SE STE 240, PUYALLUP, WA 983723771 (Tel: 2538481572)

📍
Updated Business Mailing Address February 16, 2011

Registered at 10209 136TH ST E, PUYALLUP, WA 983743076 (Tel: 2538481535)

👤
Provider Name / Credentials Updated February 16, 2011

Recorded as TIMOTHY JOLLEY, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2011

Pediatrics (License #MD00015352 in WA)

🟢
Initial NPI Registration & Enumeration January 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407907504
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2007
Last Update: February 16, 2011
Sole Proprietor: No

Mailing Address

10209 136th St E

Puyallup, WA 983743076

Phone: 2538481535

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.