Active NPI
Rodney Zane Jarrell, DO
- Internal Medicine Physician
- Beckley, WV
National Provider Identifier
1174569800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2004
- Practice address
- 1710 Harper Rd
Beckley, WV 25801-3357 - Phone
- (304) 256-4181
- NPI assigned
- Jun 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2004 | WV | Primary |
Addresses
Primary practice location
1710 Harper Rd
Beckley, WV 25801-3357
Mailing address
107 Honda Dr
Beckley, WV 25801-2347
Phone (304) 923-6746
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001759555 | Other | WV | BCBS |
| 3810003689 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050629001028 | WV | Practitioner - Internal Medicine | 2961448949 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care Alliance, Inc. | Current | Accepting new patients | |
| Peachtree Inpatient Consulting LLC | Past | Accepting new patients | |
| Kelly Medical Services Corporation LLC | Internal Medicine | Past | Accepting new patients |
| West Virginia Surgical Institute | Past | Accepting new patients | |
| Greenbrier Emergency Services, Inc. | Past | Accepting new patients | |
| Marshall Emergency Services Associates, PLLC | Past | Accepting new patients | |
| West Virginia Vascular Institute PLLC | Past | Accepting new patients | |
| Hospital Care Consultants Region II Inc | Internal Medicine | Past | Accepting new patients |
Locations
1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641
20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Gassaway, WV
- NPI 1568401461
-
- Emergency Medicine Physician
- Welch, WV
- NPI 1033154810
Internal Medicine
-
- Surgery Physician
- Beckley, WV
- NPI 1710273313
-
- Vascular Surgery Physician
- Beckley, WV
- NPI 1942251848
-
- Internal Medicine Physician
- West Memphis, AR
- NPI 1558491449
Internal Medicine
-
- Emergency Medicine Physician
- Lexington, KY
- NPI 1891737185
-
- Hospitalist Physician
- Wytheville, VA
- NPI 1003059247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250208000000",
"number": "1174569800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 HONDA DR",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258012347",
"telephone_number": "304-923-6746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 HARPER RD",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258013357",
"telephone_number": "304-256-4181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARRELL",
"first_name": "RODNEY",
"middle_name": "ZANE",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2009-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "2004",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "001759555",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810003689",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.