AMY S JOLLIFF MD NPI 1043314685

NPI Information

  • NPI: 1043314685
  • Provider Name: AMY S JOLLIFF, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 128 E MILLTOWN RD
    SUITE 105
    WOOSTER, OH
    ZIP 44691
  • Phone: (330) 345-8060

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NPI Details

Amy S Jolliff, MD is a family medicine in Wooster, OH with 37 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Amy S Jolliff, MD NPI is 1043314685. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1988

The provider's business location address is:

128 E MILLTOWN RD
SUITE 105
WOOSTER, OH
ZIP 44691
Phone: (330) 345-8060
Fax: (330) 345-5983

The NPI 1043314685 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Hemoglobin a1c level (HCPCS:83036)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Automated urinalysis test (HCPCS:81003)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza (HCPCS:87428)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)

The enumeration date for this NPI number is 9/12/2006 and was last updated on 5/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine35058875OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12123062OTHERMEDICAID GROUP
2JO0692361MEDICARE PINOHIO
39304461OTHERMEDICARE GROUP
40835967MEDICAIDOHIO
5E88369MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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