Organization Active NPI

Surgical Associates of Fredericksburg LLC

  • Surgery Physician
  • Fredericksburg, VA
National Provider Identifier
1356062913
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGICAL ASSOCIATES OF FREDERICKSBURG LLC
Practice address
9530 Cosner Dr Ste 102
Fredericksburg, VA 22408-7760
Phone
(540) 318-1515
Fax
(540) 479-2727
NPI assigned
Sep 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Authorized official

Name
Hillary Nicole O'Connell, LPN
Title
Office Manager
Phone
(540) 318-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

9530 Cosner Dr Ste 102
Fredericksburg, VA 22408-7760

Mailing address

9530 Cosner Dr Ste 102
Fredericksburg, VA 22408-7760
Phone (540) 318-1515

Other identifiers 1

IdentifierTypeStateIssuer
1467475053OtherNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contact@fredsurgery.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230109000105 VA Part B Supplier - Clinic/Group Practice 4587034525 Receives reassigned benefits from 2 practitioners
Practice locations: Fredericksburg, VA

National Provider Directory

National Provider Directory

Locations

10401 Spotsylvania Ave
Ste 204
Fredericksburg, VA 22408
Phone (540) 318-1515

1221 Central Park Blvd
#A
Fredericksburg, VA 22401

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767312000000",
    "number": "1356062913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9530 COSNER DR STE 102",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087760",
            "telephone_number": "540-318-1515",
            "fax_number": "540-479-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9530 COSNER DR STE 102",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087760",
            "telephone_number": "540-318-1515",
            "fax_number": "540-479-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF FREDERICKSBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "540-318-1515",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467475053",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@fredsurgery.com",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9530 Cosner Dr Ste 102",
            "city": "Fredericksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224087760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.