Active NPI
Jsa of Virginia - Womens
- Surgical Assistant
- Falls Church, VA
National Provider Identifier
1114298775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Legal business name
- JSA OF VIRGINIA - WOMENS
- Practice address
- 3300 Gallows Rd
Falls Church, VA 22042-3307 - Phone
- (678) 983-4479
- NPI assigned
- Jan 13, 2012
- Last updated
- Jan 13, 2012
- Organization subpart
- Yes
- Parent organization
- JACKSON SURGICAL ASSISTANTS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ann H Schaker
- Title
- Billing Director
- Phone
- (678) 983-4479
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | |||
| Surgical Assistant | 246ZC0007X | Primary | ||
| Surgical Physician Assistant | 363AS0400X |
Addresses
Primary practice location
3300 Gallows Rd
Falls Church, VA 22042-3307
Mailing address
PO Box 543
Alpharetta, GA 30009-0543
Phone (678) 983-4479
National Provider Directory
National Provider Directory- Part of
- Jackson Surg Assis LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326412800000",
"number": "1114298775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 543",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300090543",
"telephone_number": "678-983-4479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 GALLOWS RD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220423307",
"telephone_number": "678-983-4479"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JSA OF VIRGINIA - WOMENS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JACKSON SURGICAL ASSISTANTS, LLC",
"enumeration_date": "2012-01-13",
"last_updated": "2012-01-13",
"status": "A",
"authorized_official_last_name": "SCHAKER",
"authorized_official_first_name": "ANN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "BILLING DIRECTOR",
"authorized_official_telephone_number": "678-983-4479"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.