Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jesse Hollis, DO

Individual provider Surgery Physician · NPI 1669755112

Dr. Jesse Hollis, DO is a General Surgery in Cooperstown, New York. Qualified in 2010, 16 years ago. Practices with St Mary's Healthcare, a 117-clinician group and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
16
Licensed in
FL, NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone: (607) 547-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 284715 (NY)
Surgery Physician Taxonomy 208600000X · Licence OS13155 (FL)

Record details

NPI number1669755112
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 21, 2011
Last updated in NPPESJuly 13, 2016
Mailing address1 Atwell Rd, Cooperstown, NY 13326-1301

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice St. Mary'S Healthcare — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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