Individual provider Active NPI

Jordan H Talley, D.O.

  • Anesthesiology Physician
  • Winchester, VA
National Provider Identifier
1205255528
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0102205112 Issued in VA
Practice address
1840 Amherst St
Winchester, VA 22601-2808
Phone
(540) 536-8000
Fax
(540) 536-7780
NPI assigned
Apr 15, 2014
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2024031393 MO
Anesthesiology Physician 207L00000X 87911 SC
Anesthesiology Physician 207L00000X 0102205112 VA Primary

Addresses

Primary practice location

1840 Amherst St
Winchester, VA 22601-2808

Mailing address

PO Box 603484
Charlotte, NC 28260-3484
Phone (803) 765-1838

Other practice location 1

7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone (864) 522-3700

Other practice location 2

3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5000

Other practice location 3

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1436

Other practice location 4

174 Botanical Blvd
Winchester, VA 22603-3977
Phone (540) 536-5900

Other practice location 5

200 Memorial Dr
Luray, VA 22835-1000
Phone (540) 743-4561

Other practice location 6

759 S Main St
Woodstock, VA 22664-1154
Phone (540) 459-4110

Other practice location 7

1000 N Shenandoah Ave
Front Royal, VA 22630-3598
Phone (540) 635-0219

Other practice location 8

190 Campus Blvd Ste 100
Winchester, VA 22601-2842
Phone (540) 662-8336

Other practice location 9

190 Campus Blvd Ste 150
Winchester, VA 22601-2872
Phone (540) 662-8336

Other practice location 10

878 Fox Dr
Winchester, VA 22603
Phone (540) 662-8336

Other practice location 11

1860 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

Electronic endpoints 9

TypeEndpointUseAffiliation
Direct Messaging Address jtalley581335@soc.inova.org
Direct Messaging Address jtalley581335@soc.inova.org
Direct Messaging Address jtalley581335@soc.inova.org
Direct Messaging Address jtalley581335@soc.inova.org
Direct Messaging Address jtalley581335@soc.inova.org
Direct Messaging Address jtalley581335@soc.inova.org
Direct Messaging Address jtalley581335@soc.inova.org
Direct Messaging Address jtalley581335@soc.inova.org
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE) MISSOURI BAPTIST MEDICAL CENTER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WI, SC, MO4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20181004000182 VA Practitioner - Anesthesiology 9638481963 Reassigns benefits to 2 organizations
I20220921002221 WI Practitioner - Anesthesiology 9638481963 Reassigns benefits to 9 organizations
I20230531001039 SC Practitioner - Anesthesiology 9638481963 Reassigns benefits to 2 organizations
I20240831000066 MO Practitioner - Anesthesiology 9638481963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dogwood Anesthesia Providers LLCGroup PAC ID 2769853084, 141 clinicians

Practice addresses (Care Compare)

7 Independence PT
Suite 300
Greenville, SC 29615-4569
Phone (864) 522-3700

7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 483-0817

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2024031393MOMDAnesthesiology Physician
0102205112VAMDAnesthesiology Physician
22913WIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Aug 19, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Dec 20, 2024 Accepting new patients
MCHS Hospitals Inc Anesthesiology Current Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Dec 20, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Dec 20, 2024 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Memorial Hospital Inc CurrentSince Dec 20, 2024 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Prisma Health University Medical Group Anesthesiology CurrentSince Aug 19, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Dec 20, 2024 Accepting new patients
Missouri Baptist Medical Center Anesthesiology CurrentSince Aug 26, 2024 Accepting new patients
Winchester Anesthesiologists Inc Anesthesiology CurrentSince Aug 1, 2018 Accepting new patients
Flambeau Hospital Inc CurrentSince Dec 20, 2024 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Current Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. Anesthesiology CurrentSince May 10, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Dec 20, 2024 Accepting new patients
Marshfield Clinic Inc CurrentSince Dec 20, 2024 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Dec 20, 2024 Accepting new patients
Dogwood Anesthesia Providers, LLC Anesthesiology CurrentSince Mar 9, 2023 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince May 10, 2023 Accepting new patients

Locations (25 of 26)

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602

7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

200 Memorial Dr
Luray, VA 22835
Phone (540) 743-4561

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

174 Botanical Blvd
Winchester, VA 22603
Phone (540) 536-5900

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

1860 Amherst St
Winchester, VA 22601
Phone (540) 536-7870

190 Campus Blvd
Ste 100
Winchester, VA 22601
Phone (540) 536-7140

190 Campus Blvd
Ste 150
Winchester, VA 22601
Phone (540) 677-0227

874 Fox Dr
Winchester, VA 22603
Phone (540) 662-0990

878 Fox Dr
Winchester, VA 22603
Phone (540) 546-2624

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

10400 75th St
Kenosha, WI 53142
Phone (262) 697-7000

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: jtalley794234@direct.ghs.myhfn.org

Organizations & group practices 23

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 23

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1205255528",
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    "practiceLocations": [
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            "fax_number": "864-522-3705",
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            "fax_number": "540-743-9560",
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            "fax_number": "540-459-1121",
            "country_name": "United States",
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            "fax_number": "540-635-0427",
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        {
            "address_1": "190 Campus Blvd Ste 150",
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            "postal_code": "226012872",
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            "telephone_number": "540-662-8336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "878 Fox Dr",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "22603",
            "country_code": "US",
            "telephone_number": "540-662-8336",
            "fax_number": "540-662-8593",
            "country_name": "United States",
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        {
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            "fax_number": "540-536-7780",
            "country_name": "United States",
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    ],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "JORDAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2024-08-29",
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        },
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            "taxonomy_group": "",
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    "identifiers": [],
    "endpoints": [
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            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
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            "affiliation": "N",
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            "country_code": "US",
            "postal_code": "226033977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtalley581335@soc.inova.org",
            "affiliation": "N",
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            "city": "Luray",
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtalley581335@soc.inova.org",
            "affiliation": "N",
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            "state": "VA",
            "country_code": "US",
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtalley581335@soc.inova.org",
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            "country_code": "US",
            "postal_code": "226012872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtalley581335@soc.inova.org",
            "affiliation": "N",
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            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtalley581335@soc.inova.org",
            "affiliation": "N",
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            "city": "Woodstock",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226641154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtalley581335@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "endpointDescription": "BJC",
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            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3015 N Ballas Rd",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631312329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.