{"npi":"1598750366","type":"NPI-1","status":"active","name":{"display":"Dr. Susan Jolly M.D.","other":[{"code":"5","type":"Also known as","value":"JOLLY DYER, SUSAN LYNN"}],"first":"SUSAN","last":"JOLLY","middle":"LYNN","credential":"M.D."},"specialty":{"primary_taxonomy":"207X00000X","primary_taxonomy_description":"Orthopaedic Surgery","slug":"orthopedic-surgery","schema_org_specialty":"PlasticSurgery","all":[{"code":"174400000X","description":"Specialist","primary":false,"state":"CO","license":"29220"},{"code":"207X00000X","description":"Orthopaedic Surgery","primary":false,"state":"CO","license":"29220"},{"code":"207X00000X","description":"Orthopaedic Surgery","primary":true,"state":"MO","license":"2015013479"}]},"addresses":[{"purpose":"LOCATION","street_1":"1100 N KENTUCKY AVE","city":"WEST PLAINS","state":"MO","postal_code":"657752029","country_code":"US","phone":"4172569111","fax":"4172561746"},{"purpose":"MAILING","street_1":"1210 N. KENTUCKY","city":"WEST PLAINS","state":"MO","postal_code":"65775","country_code":"US","phone":"4172561745","fax":"4172561746"}],"license":{"state":"MO","number":"2015013479"},"identifiers":[{"type_code":"01","label":"Other","value":"29220","state":"CO","issuer":"LICENSE"},{"type_code":"05","label":"Medicaid","value":"01292200","state":"CO","issuer":null},{"type_code":"01","label":"Other","value":"2015013479","state":"MO","issuer":"MISSOURI MEDICAL LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150720002059","type_code":"14-20","type_desc":"PRACTITIONER - ORTHOPEDIC SURGERY","state":"MO","pac_id":"7416855309"}]},"enumeration_date":"2005-09-16","last_updated":"2024-07-17","_meta":{"source":"NPPES","snapshot_date":"2024-07-17","doc_url":"https://findmynpi.com/api"}}