Active NPI
Zachary Quinn Larson, CSFA
- Surgical Assistant
- Woodbridge, VA
National Provider Identifier
1750884151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Practice address
- 13285 Optimist Mews
Woodbridge, VA 22193-3993 - Phone
- (540) 840-3410
- NPI assigned
- Mar 12, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | VA | Primary |
Addresses
Primary practice location
13285 Optimist Mews
Woodbridge, VA 22193-3993
Mailing address
10802 Heatherwood Dr
Spotsylvania, VA 22553-1666
Phone (540) 840-3410
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520812800000",
"number": "1750884151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10802 HEATHERWOOD DR",
"city": "SPOTSYLVANIA",
"state": "VA",
"postal_code": "225531666",
"telephone_number": "540-840-3410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13285 OPTIMIST MEWS",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221933993",
"telephone_number": "540-840-3410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "ZACHARY",
"middle_name": "QUINN",
"name_prefix": "Mr.",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-12",
"last_updated": "2018-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.