Individual provider Active NPI

Mark Hunter, CSA,RSA

  • Surgical Assistant
  • Chesterfield, VA
National Provider Identifier
1689080806
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
3909 Issued in VA
Practice address
9600 Spring Glen Dr
Chesterfield, VA 23832-8829
Phone
(804) 306-5514
Fax
(804) 275-7574
NPI assigned
Jul 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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 3909 VA Primary

Addresses

Primary practice location

9600 Spring Glen Dr
Chesterfield, VA 23832-8829

Mailing address

4520 Marshall Run Cir Apt 207
Glen Allen, VA 23059-5865
Phone (804) 306-5514

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
3909VAMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rva Surgical Inc Surgical Assistant Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1689080806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 MARSHALL RUN CIR APT 207",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595865",
            "telephone_number": "804-306-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 SPRING GLEN DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238328829",
            "telephone_number": "804-306-5514",
            "fax_number": "804-275-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "MARK",
        "credential": "CSA,RSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-08",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "VA",
            "license": "3909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.