Individual provider Active NPI

Marcell Wells, CSA

  • Surgical Assistant
  • Falls Church, VA
National Provider Identifier
1497952188
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
0136000057 Issued in VA
Practice address
8116 Arlington Blvd
Suite 183
Falls Church, VA 22042-1002
Phone
(703) 205-9000
Fax
(703) 205-9010
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 0136000057 VA Primary

Addresses

Primary practice location

8116 Arlington Blvd
Suite 183
Falls Church, VA 22042-1002

Mailing address

8116 Arlington Blvd
Suite 183
Falls Church, VA 22042-1002
Phone (703) 205-9000

Other identifiers 2

IdentifierTypeStateIssuer
3236OtherNCCSA
0136000057OtherVABOARD OF MEDICINE REGISTERED SURGICAL ASSISTANT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0136000057VAMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1497952188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 ARLINGTON BLVD",
            "address_2": "SUITE 183",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421002",
            "telephone_number": "703-205-9000",
            "fax_number": "703-205-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8116 ARLINGTON BLVD",
            "address_2": "SUITE 183",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421002",
            "telephone_number": "703-205-9000",
            "fax_number": "703-205-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "MARCELL",
        "credential": "CSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "VA",
            "license": "0136000057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCSA",
            "identifier": "3236",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF MEDICINE REGISTERED SURGICAL ASSISTANT",
            "identifier": "0136000057",
            "state": "VA"
        }
    ],
    "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 Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.