Active NPI
Jordan H Talley, D.O.
- Anesthesiology Physician
- Winchester, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0102205112
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2024031393 | MO | MD | Anesthesiology Physician |
| 0102205112 | VA | MD | Anesthesiology Physician |
| 22913 | WI | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | 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 | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Prisma Health University Medical Group | Anesthesiology | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Missouri Baptist Medical Center | Anesthesiology | Current | Accepting new patients |
| Winchester Anesthesiologists Inc | Anesthesiology | Current | Accepting new patients |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Bon Secours St Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Bon Secours St. Francis Xavier Hospital, Inc. | Anesthesiology | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Dogwood Anesthesia Providers, LLC | Anesthesiology | Current | Accepting new patients |
| Bon Secours St. Francis Xavier Hospital, Inc. | Current | 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
- 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.
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1982329900
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
- Anesthesiology Physician
- Winchester, VA
- NPI 1700841137
-
dba Marshfield Medical Center - Beaver Dam Professional Services
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
- Cardiovascular Disease Physician
- Charleston, SC
- NPI 1740502822
-
dba MMC - Park Falls Outreach Services
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
dba Marshfield Medical Center - Park Falls
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
dba Marshfield Medical Center - Rice Lake Professional Services
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
dba Marshfield Medical Center
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
Anesthesiology
-
dba Marshfield Medical Center - Ladysmith
- Critical Access Hospital
- Ladysmith, WI
- NPI 1952890873
-
dba Marshfield Medical Center - Neillsville
- Critical Access Hospital
- Neillsville, WI
- NPI 1346239373
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CJW Medical Center
- General Acute Care Hospital
- Richmond, VA
- NPI 1598708513
-
dba Prisma Health Senior Primary Care
- Geriatric Medicine (Internal Medicine) Physician
- Columbia, SC
- NPI 1962471946
Hospital
-
dba Prisma Health Cancer Inst-Richland
- General Acute Care Hospital
- Columbia, SC
- NPI 1033889795
-
dba Prisma Health Pediatric Hematology/Oncology
- General Acute Care Hospital
- Columbia, SC
- NPI 1154197846
-
dba Prisma Health Richland Hosptial
- General Acute Care Hospital
- Columbia, SC
- NPI 1154373843
-
dba Prisma Health Richland Lab Outreach
- General Acute Care Hospital
- Coulmbia, SC
- NPI 1154432458
-
dba Prisma Health Cancer Inst-Richland
- General Acute Care Hospital
- Columbia, SC
- NPI 1396524104
-
dba Prisma Health Outpatient Pediatric Pulmonology
- General Acute Care Hospital
- Columbia, SC
- NPI 1508554452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1205255528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603484",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603484",
"telephone_number": "803-765-1838",
"fax_number": "803-765-1732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 AMHERST ST",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226012808",
"telephone_number": "540-536-8000",
"fax_number": "540-536-7780"
}
],
"practiceLocations": [
{
"address_1": "7 Independence Pt Ste 300",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296154569",
"country_code": "US",
"telephone_number": "864-522-3700",
"fax_number": "864-522-3705",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3015 N Ballas Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631312329",
"country_code": "US",
"telephone_number": "314-996-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2095 Henry Tecklenburg Dr",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294145733",
"country_code": "US",
"telephone_number": "843-402-1436",
"fax_number": "843-402-1833",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "174 Botanical Blvd",
"address_purpose": "LOCATION",
"city": "Winchester",
"state": "VA",
"postal_code": "226033977",
"country_code": "US",
"telephone_number": "540-536-5900",
"fax_number": "540-536-5915",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Luray",
"state": "VA",
"postal_code": "228351000",
"country_code": "US",
"telephone_number": "540-743-4561",
"fax_number": "540-743-9560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "759 S Main St",
"address_purpose": "LOCATION",
"city": "Woodstock",
"state": "VA",
"postal_code": "226641154",
"country_code": "US",
"telephone_number": "540-459-4110",
"fax_number": "540-459-1121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 N Shenandoah Ave",
"address_purpose": "LOCATION",
"city": "Front Royal",
"state": "VA",
"postal_code": "226303598",
"country_code": "US",
"telephone_number": "540-635-0219",
"fax_number": "540-635-0427",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "190 Campus Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Winchester",
"state": "VA",
"postal_code": "226012842",
"country_code": "US",
"telephone_number": "540-662-8336",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "190 Campus Blvd Ste 150",
"address_purpose": "LOCATION",
"city": "Winchester",
"state": "VA",
"postal_code": "226012872",
"country_code": "US",
"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",
"address_type": "DOM"
},
{
"address_1": "1860 Amherst St",
"address_purpose": "LOCATION",
"city": "Winchester",
"state": "VA",
"postal_code": "226012808",
"country_code": "US",
"telephone_number": "540-536-8000",
"fax_number": "540-536-7780",
"country_name": "United States",
"address_type": "DOM"
}
],
"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",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "2024031393",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "SC",
"license": "87911",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0102205112",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jtalley581335@soc.inova.org",
"affiliation": "N",
"address_1": "1000 N Shenandoah Ave",
"city": "Front Royal",
"state": "VA",
"country_code": "US",
"postal_code": "226303598",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jtalley581335@soc.inova.org",
"affiliation": "N",
"address_1": "174 Botanical Blvd",
"city": "Winchester",
"state": "VA",
"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",
"address_1": "200 Memorial Dr",
"city": "Luray",
"state": "VA",
"country_code": "US",
"postal_code": "228351000",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jtalley581335@soc.inova.org",
"affiliation": "N",
"address_1": "1860 Amherst St",
"city": "Winchester",
"state": "VA",
"country_code": "US",
"postal_code": "226012808",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jtalley581335@soc.inova.org",
"affiliation": "N",
"address_1": "190 Campus Blvd Ste 150",
"city": "Winchester",
"state": "VA",
"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",
"address_1": "190 Campus Blvd Ste 100",
"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",
"address_1": "759 S Main St",
"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",
"affiliationName": "MISSOURI BAPTIST MEDICAL CENTER",
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.