JANINE TALTY LLC (NPI# 1831440221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831440221 |
| Entity Type | Organization |
| Organization Name | JANINE TALTY LLC |
| Practice Address |
2702 Brambleton Ave Sw Roanoke VA 24015-4308 |
| Practice Telephone | 8314267585 |
| Practice Fax Number | 8314266224 |
| Mailing Telephone | 5406852670 |
| Mailing Fax Number | 5406852671 |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2019-07-16 |
| Authorized Official Name | JANINE TALTY (PHYSICIAN) |
| Authorized Official Telephone | 5406852670 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 0102202736 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | LICENSE | 0102202736 | 01 |
| Street Address |
2702 BRAMBLETON AVE SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24015-4308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396873774 | Janine Marie Talty | Neuromusculoskeletal Medicine & OMM | 2702 Brambleton Ave Sw, Roanoke, VA 24015-4308 | 2007-02-28 |
| 1558846022 | Jenna Florence Montana | Chiropractor | 2702 Brambleton Ave Sw, Roanoke, VA 24015-4308 | 2018-10-01 |
| 1275924318 | Valley Integrative Medicine | Internal Medicine | 2702 Brambleton Ave Sw, Roanoke, VA 24015-5139 | 2015-02-11 |
| 1609083807 | Alicia Grace Hollis | Internal Medicine | 2702 Brambleton Ave Sw, Roanoke, VA 24015-4308 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326549163 | Manu Singh | Physical Therapist | 1327 Grandin Rd #243, Roanoke, VA 24015 | 2018-02-27 |
| 1952828329 | Lisa Nielsen | Early Intervention Provider Agency | 2112 Maiden Lane Sw, Roanoke, VA 24015 | 2017-08-27 |
| 1518304955 | Blue Ridge Healthcare Partners, LLC | Clinic/Center | 602 Brandon Ave, Suite 222, Roanoke, VA 24015 | 2013-05-24 |
| 1184938185 | Pamela Jean Merritt | Dentist | 2022 Brambleton Ave Sw, Roanoke, VA 24015 | 2010-08-02 |
| 1093957458 | Susan Wohlford | Speech-Language Pathologist | 2030 Colonial Avenue Sw, Roanoke, VA 24015 | 2009-04-01 |
| 1922141811 | Robert Douglas Ross | Dentist | 1602 Grandin Rd, Roanoke, VA 24015 | 2007-02-14 |
| 1043395825 | Michael Burgoon | Chiropractor | 2302 Colonial Ave Sw, Suite A, Roanoke, VA 24015 | 2006-10-27 |
| 1245342237 | Roanoke Family Medicine | Family Medicine | Roanoke Family Medicine Inc, Roanoke, VA 24015 | 2006-08-31 |
| 1861971475 | Molly Amelia Southard | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24015 | 2018-08-14 |
| 1740769009 | Makayla Ramsey | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24015 | 2018-08-08 |
| Find all providers in zip 24015 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376750646 | Nancy Laura Liles | Neuromusculoskeletal Medicine & OMM | 7455 Mcconnell Rd, Roanoke, VA 24019-3241 | 2007-05-17 |
| 1396873774 | Janine Marie Talty | Neuromusculoskeletal Medicine & OMM | 2702 Brambleton Ave Sw, Roanoke, VA 24015-4308 | 2007-02-28 |
| 1326251083 | Sean T Burke | Neuromusculoskeletal Medicine & OMM | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356860829 | Neurology | Neuromusculoskeletal Medicine & OMM | 701 W Broad St Ste 214, Falls Church, VA 22046 | 2017-09-15 |
| 1013303486 | Mukarram Razvi | Neuromusculoskeletal Medicine & OMM | 1999 S Main St Ste 505j, Blacksburg, VA 24060-6601 | 2015-04-12 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1710133228 | Jason A. Sneed | Neuromusculoskeletal Medicine & OMM | 2525 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2008-08-15 |
| 1245498062 | Joshua Heath Dalton | Neuromusculoskeletal Medicine & OMM | 14 East 27st N, Ste 2, Big Stone Gap, VA 24219 | 2008-05-29 |
| 1033232269 | Alina H Tobey | Neuromusculoskeletal Medicine & OMM | 1691 Innovation Dr Ste 2100, Blacksburg, VA 24060-6828 | 2007-04-10 |
| 1588782213 | Michael J Porvaznik | Neuromusculoskeletal Medicine & OMM | 4910 31st St S, Suite A, Arlington, VA 22206-1656 | 2007-03-27 |
| 1427106624 | Kevin Andrew Hicks | Neuromusculoskeletal Medicine & OMM | 300a Temple Lake Dr, Suite 1, Colonial Heights, VA 23834-2972 | 2007-01-06 |
| 1043385370 | Harold Kornylak | Neuromusculoskeletal Medicine & OMM | 1432 E Bay Shore Dr, Virginia Beach, VA 23451-3760 | 2006-11-21 |
| 1841212917 | James A. Lipton | Neuromusculoskeletal Medicine & OMM | 516 Wedge Dr, Virginia Beach, VA 23462-4540 | 2006-07-24 |
| 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.