Jane E Kelley Tallman, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1770 Issued in WV

Practice address

100 Taylor LN
Ronceverte, WV 24970-1337

Phone

(304) 647-3434

Fax

(304) 647-9789

NPI assigned

Nov 2, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Osteopathic Manipulative MedicineAlso: Emergency Medicine

Education

West Virginia School of Osteopathic Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Appalachian Mountains Medical LLCGroup PAC ID 6709016264, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Welch Community Hospital Hospital, Welch, WV, CCN 510086

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Appalachian Mountains Medical, LLC

  • Emergency Medicine Physician
  • Welch, WV
  • NPI 1881023117

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Davis Memorial Hospital

  • General Acute Care Hospital
  • Elkins, WV
  • NPI 1619964806
  Medicare reassignment NPD
• Health Care Alliance, Inc.

  • Emergency Medicine Physician
  • Beckley, WV
  • NPI 1730128760
  Medicare reassignment NPD
• Davis Memorial Hospital

  • Community/Retail Pharmacy
  • Elkins, WV
  • NPI 1700663226
  NPD
• BJSM Med Inc

  • Emergency Medicine Physician
  • Ronceverte, WV
  • NPI 1326037011
  NPD (past)
• Greenbrier Valley Emergency Physicians LLC

  • Emergency Medicine Physician
  • Ronceverte, WV
  • NPI 1760676407
  NPD (past)
• Kelly Medical Services Corporation LLC

  • Emergency Medicine Physician
  • Welch, WV
  • NPI 1033154810

  Family Medicine

  NPD (past)
• West Virginia Em-I Medical Services

  • Emergency Medicine Physician
  • Summersville, WV
  • NPI 1598148553
  NPD (past)
• Wythville Management Consultants LLC,

  • Specialist
  • Lewisburg, WV
  • NPI 1598756207
  NPD (past)

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

• State of West Virginia Welch Community Hospital

  • General Acute Care Hospital
  • Welch, WV
  • NPI 1134158900
  Care Compare affiliation

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240531200000",
    "number": "1700877412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "CRAB ORCHARD",
            "state": "WV",
            "postal_code": "258270787",
            "telephone_number": "304-253-5793",
            "fax_number": "304-253-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TAYLOR LN",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701337",
            "telephone_number": "304-647-3434",
            "fax_number": "304-647-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY TALLMAN",
        "first_name": "JANE",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2009-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "1770",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "001721727",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "W COMP",
            "identifier": "1048076",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5600556000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE",
            "identifier": "P00049529",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Judy, CRNA
• Lynda Karpick, CRNA
• Andrea Catherine Karrs, MPT
• Thomas M Karrs, MD
• Suzanne M Keddie, MD
• Ida King
• Okey King III
• Roselyne Knopf, M.D.
• Thomas S Kowalkowski, MD
• Janet Lee Kowalsky, DO

• Family Medicine Physician in Ronceverte, WV
• Providers in Ronceverte, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.
• 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.

Verify at the official NPI Registry.