MARY JO JARRELL (NPI# 1487265427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487265427 |
| Entity Type | Individual |
| Full Name | MARY JO JARRELL |
| Practice Address |
12294 Chap Rd Gordon WV 25093-9425 |
| Practice Telephone | 3042458414 |
| Mailing Telephone | 3042458414 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093357477 | Mary Jarrell | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2019-10-17 |
| 1598030884 | Mary Caroline Jarrell | Dentist | 2570 Brookstone Centre Pkwy, Suite 100, Columbus, GA 31904-4669 | 2012-03-20 |
| 1770665697 | Mary Lana Jarrell | Nurse Practitioner | 416 Pine St, Sylvania, GA 30467-2036 | 2006-10-19 |
| Street Address |
12294 CHAP RD |
| City | GORDON |
| State | WV |
| Zip Code | 25093-9425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629689518 | Lory Ann Elswick | Technician | 4782 Gordon Rd, Gordon, WV 25093 | 2020-08-13 |
| 1053924217 | Victoria M Miller | Technician | 105 Laurel Dr, Gordon, WV 25093 | 2020-08-27 |
| 1376155564 | Savannah Renae Williams | Technician | 27 Lares Cir, Gordon, WV 25093-9400 | 2020-08-19 |
| 1386255289 | Calvin L Buckner II | Technician | 12340 Chap Rd, Gordon, WV 25093-9427 | 2020-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155564 | Savannah Renae Williams | Technician | 27 Lares Cir, Gordon, WV 25093-9400 | 2020-08-19 |
| 1386255289 | Calvin L Buckner II | Technician | 12340 Chap Rd, Gordon, WV 25093-9427 | 2020-08-13 |
| 1629689518 | Lory Ann Elswick | Technician | 4782 Gordon Rd, Gordon, WV 25093 | 2020-08-13 |
| 1487281572 | Jamia A Reese | Speech-Language Pathologist | 136 Burney Rd, Gordon, GA 31031-2501 | 2020-03-26 |
| 1043842073 | Jerry Reese Jr. | Specialist/Technologist | 218 Elam St, Gordon, GA 31031-2502 | 2020-02-07 |
| 1992366512 | Chasity A Hatfield | Physical Therapy Assistant | 3715 Highway 510, Gordon, KY 41819-9043 | 2019-06-25 |
| 1205339884 | Bradley Eugen Myers | Acupuncturist | 328 N Ash St, Gordon, NE 69343-1431 | 2018-03-09 |
| 1841745155 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 301 E Us Highway 20, Gordon, NE 69343-1650 | 2016-08-17 |
| 1679971899 | Prerna Brisky | Physical Therapist | 14624 S Whitefish Lake Rd, Gordon, WI 54838-9363 | 2014-12-22 |
| 1740610781 | Ronnie Travis Cook | Physical Therapy Assistant | 5773 Highway 510, Gordon, KY 41819-8941 | 2013-11-12 |
| Find all providers in GORDON | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155564 | Savannah Renae Williams | Technician | 27 Lares Cir, Gordon, WV 25093-9400 | 2020-08-19 |
| 1386255289 | Calvin L Buckner II | Technician | 12340 Chap Rd, Gordon, WV 25093-9427 | 2020-08-13 |
| 1629689518 | Lory Ann Elswick | Technician | 4782 Gordon Rd, Gordon, WV 25093 | 2020-08-13 |
| 1053924217 | Victoria M Miller | Technician | 105 Laurel Dr, Gordon, WV 25093 | 2020-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336980 | Tricia Carpenter | Technician | 123 Water St, Spencer, WV 25276-1736 | 2020-11-08 |
| 1922609619 | Michael Nakonechny | Technician | 1443 20th St, Parkersburg, WV 26101-3421 | 2020-11-08 |
| 1942801634 | Connie Stewart | Technician | 64 Cardinal Ln, Glenville, WV 26351-1700 | 2020-11-08 |
| 1215538905 | Mary Caplinger | Technician | 2201 Beverly St, Parkersburg, WV 26101-6814 | 2020-11-08 |
| 1205437993 | Rhonda Allman | Technician | 3118 Harris Hwy, Washington, WV 26181-8709 | 2020-11-08 |
| 1396346086 | Danielle Ayers | Technician | 9691 N Calhoun Hwy, Big Springs, WV 26137-7537 | 2020-11-08 |
| 1649871328 | Leah West | Technician | 132 Miller Dr Apt D, Ripley, WV 25271-1126 | 2020-11-08 |
| 1841891538 | Deidra Montgomery | Technician | 1402 Lake Washington Rd, Washington, WV 26181-8222 | 2020-11-08 |
| 1790386605 | Samantha Faye Oscar | Technician | 279 Roy Dr, Ridgeley, WV 26753-9451 | 2020-11-06 |
| 1235730185 | Andrew Lee Fluharty | Technician | 1222 23rd St, Parkersburg, WV 26101-2702 | 2020-11-06 |
| Find all providers with the same taxonomy | ||||
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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.