Active NPI
Joseph Jarrell, MD
- Hospitalist Physician
- Charleston, WV
National Provider Identifier
1013094119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 19030
- Practice address
- 333 Laidley St Ste 605
Charleston, WV 25301-1614 - Phone
- (304) 720-7235
- Fax
- (304) 720-7236
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 19030 | WV | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 19030 | WV | |
| Hospitalist Physician | 208M00000X | 19030 | WV | Primary |
Addresses
Primary practice location
333 Laidley St Ste 605
Charleston, WV 25301-1614
Mailing address
3456 Piedmont Rd
Charleston, WV 25306-6635
Phone (304) 926-0900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001712898 | Other | WV | BCBS PIN NUMBER |
| 0080847000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1013094119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3456 PIEDMONT RD",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253066635",
"telephone_number": "304-926-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 LAIDLEY ST STE 605",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253011614",
"telephone_number": "304-720-7235",
"fax_number": "304-720-7236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARRELL",
"first_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "19030",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "WV",
"license": "19030",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WV",
"license": "19030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN NUMBER",
"identifier": "001712898",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0080847000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.