Jarrell Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20727 Issued in WV

Legal business name

JARRELL FAMILY MEDICINE

Practice address

1288 B Street
Ceredo, WV 25507-0327

Phone

(304) 453-3334

Fax

(304) 453-2608

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Eugenia M Jarrell, MD

Title

President/Physician

Phone

(304) 453-3334

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1811074701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1288 B. STREET PO BOX 327",
            "city": "CEREDO",
            "state": "WV",
            "postal_code": "255070327",
            "telephone_number": "304-453-3334",
            "fax_number": "304-453-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 B STREET",
            "city": "CEREDO",
            "state": "WV",
            "postal_code": "255070327",
            "telephone_number": "304-453-3334",
            "fax_number": "304-453-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARRELL FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "JARRELL",
        "authorized_official_first_name": "EUGENIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "304-453-3334",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "20727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810011443",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden Girl, Inc.
• Gregmar Inc
• Rachel Hefner, MOT
• Brandy Hovanec
• Integrated Psychiatric Care LLC
• Eugenia M Jarrell, M.D.
• Michael Eugene Kilkenny, MD
• Joyce Maynard
• Timothy Maynard
• Austin McCloud

• Family Medicine Physician in Ceredo, WV
• Providers in Ceredo, 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 Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.