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DR. JERROL JAY NOLLER M.D.
NPI 1245343011
Internal Medicine in Coon Rapids, MN

Active since August 16, 2006
3863 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433(763) 433-8300(763) 433-8308 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jerrol Jay Noller M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERROL JAY NOLLER M.D. (NPI 1245343011) is an individual internal medicine provider in Coon Rapids, Minnesota, licensed in Minnesota (23068) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1245343011
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JERROL JAY NOLLERCredential: M.D.
Location Address3863 COON RAPIDS BLVD NWCoon Rapids, MN 55433-2518
Mailing Address1416 Oakwood DrAnoka, MN 55303-2747 · (763) 427-6897 · Fax (763) 433-8308
Phone(763) 433-8300
Fax(763) 433-8308
Sole ProprietorYes
Enumeration DateAugust 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245343011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 23068
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3863 COON RAPIDS BLVD NW, Coon Rapids, MN 55433
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Other Identifiers 1

Medicare UPINA95037MN

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRYANT R. BEEHLER, D.O., LTD.
Clinic/Center (Rehabilitation)
3863 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Anoka County (701) 239-3738
JERROL NOLLER MD LTD
Clinic/Center (Medical Specialty)
3863 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 433-8300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerrol Noller's NPI number?

The NPI number for Jerrol Noller is 1245343011. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Jerrol Noller located?

Jerrol Noller practices at 3863 Coon Rapids Blvd NW, Coon Rapids, MN 55433. The listed phone number is (763) 433-8300.

What is Jerrol Noller's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Jerrol Noller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.