DR. JESSE BRIAN JALAZO (NPI# 1134181688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134181688 |
| Entity Type | Individual |
| Full Name | DR. JESSE BRIAN JALAZO |
| Credential | MD |
| Practice Address |
1002 Sushruta Dr Martinsburg WV 25401 |
| Practice Telephone | 3042630913 |
| Practice Fax Number | 3042672917 |
| Mailing Telephone | 3042630913 |
| Mailing Fax Number | 3042672917 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 14159 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0084592000 | 05 | |
| AETNA | 4403390 | 01 |
| Street Address |
1002 SUSHRUTA DR |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912974122 | Jane Gerke Park | Internal Medicine | 1002 Sushruta Dr, Martinsburg, WV 25401-8897 | 2006-03-07 |
| 1780630822 | Ryan Timothy Mccarthy | Internal Medicine | 1002 Sushruta Dr, Martinsburg, WV 25401-8897 | 2006-05-26 |
| 1588622328 | Richard H Catlett | Internal Medicine | 1002 Sushruta Dr, Martinsburg, WV 25401-8876 | 2006-05-02 |
| 1558323006 | Martinsburg Internal Medicine Assoc Inc | Internal Medicine | 1002 Sushruta Dr, Martinsburg, WV 25401-8897 | 2006-04-03 |
| 1407815665 | Chan Dong Park | Internal Medicine | 1002 Sushruta Dr, Martinsburg, WV 25401-8897 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020537 | Christina Anne Williams | Nurse Practitioner | 2100 Hospital Drive, Martinsburg, WV 25401 | 2020-07-10 |
| 1013530633 | Pdi Health Wv LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 E. Burke Street, Martinsburg, WV 25401 | 2020-05-19 |
| 1699293035 | Tiffany Curry | Social Worker | 653 Winchester Avenue, Martinsburg, WV 25401 | 2017-09-06 |
| 1972042992 | Berkeley County Council | Counselor | 800 Emmett Rousch Drive, Martinsburg, WV 25401 | 2017-02-23 |
| 1023569449 | Heidi Crawford | Registered Nurse | 401 South College Street, Berkeley County Board of Ed, Martinsburg, WV 25401 | 2016-10-20 |
| 1578911293 | Christina Marie Van Hilst | Nurse Practitioner | 1001 Sushruta Dr, Martinsburg, WV 25401 | 2016-06-03 |
| 1578926549 | Barathy Radhakrishnan | Speech-Language Pathologist | 401 Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 | 2016-03-29 |
| 1972985638 | Wellco Dme LLC | Durable Medical Equipment & Medical Supplies | 107 Tavern Rd, Martinsburg, WV 25401 | 2015-06-18 |
| 1457731960 | Patrick Hamilton Noland | Dentist | 1003 Sushruta Dr., Martinsburg, WV 25401 | 2015-06-01 |
| 1801296330 | Terry Harden | Massage Therapist | 601 South Raliegh St., Martinsburg, WV 25401 | 2014-09-03 |
| Find all providers in zip 25401 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306349485 | City Hospital, Inc. | Internal Medicine | 2010 Doctor Oates Dr Ste 103, Martinsburg, WV 25401-8896 | 2018-03-14 |
| 1386743391 | Romulo J Estigoy Md Inc | Internal Medicine | 121 N College St, Martinsburg, WV 25401-3303 | 2006-09-22 |
| 1174621346 | Farrukh M Jalisi | Internal Medicine | 2000 Foundation Way Ste 3100, Robert C Byrd Health Sciences Center, Martinsburg, WV 25401-9198 | 2006-09-20 |
| 1346357456 | Robert J Lynch | Internal Medicine | 311 Medical Court, Martinsburg, WV 25401 | 2006-08-24 |
| 1134157555 | Phillip B Aguila | Internal Medicine | 2000 Foundation Way Ste 3300, Martinsburg, WV 25401-9198 | 2006-06-28 |
| 1669432043 | Chris Clinton Que | Internal Medicine | 1004 Tavern Rd, Martinsburg, WV 25401-2864 | 2006-03-28 |
| 1659332955 | Karen Jon Rudolph | Internal Medicine | 1002 Sushruta Drive, Martinsburg, WV 25401 | 2006-03-28 |
| 1912974122 | Jane Gerke Park | Internal Medicine | 1002 Sushruta Dr, Martinsburg, WV 25401-8897 | 2006-03-07 |
| 1811990641 | Terrence J Reidy | Internal Medicine | 2010 Doctor Oates Dr Ste 102, Martinsburg, WV 25401-8896 | 2005-05-24 |
| 1003471012 | The Village At Morrisons Cove | Internal Medicine | 429 S Market St, Martinsburg, PA 16662-1005 | 2019-05-06 |
| Find all providers in MARTINSBURG | ||||
| City | MARTINSBURG |
| Zip Code | 25401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.