Organization Active NPI

Commonwealth Neurosurgery

  • Neurological Surgery Physician
  • Lansdowne, VA
National Provider Identifier
1821282229
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
0101052907 Issued in VA
Legal business name
COMMONWEALTH NEUROSURGERY
Practice address
19465 Deerfield Ave Ste 307
Lansdowne, VA 20176-1705
Phone
(703) 729-4692
NPI assigned
Aug 29, 2007
Last updated
Aug 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Dr. Sean Jebraili, MDNPI 1437118957
Title
LLC Owner
Phone
(703) 729-4692

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 0101052907 VA Primary

Addresses

Primary practice location

19465 Deerfield Ave Ste 307
Lansdowne, VA 20176-1705

Mailing address

19465 Deerfield Ave Ste 307
Lansdowne, VA 20176-1705

National Provider Directory

National Provider Directory

Locations

19465 Deerfield Ave
Ste 307
Leesburg, VA 20176
Phone (703) 729-4692

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1821282229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE STE 307",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201761705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE STE 307",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201761705",
            "telephone_number": "703-729-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH NEUROSURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "JEBRAILI",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "LLC OWNER",
        "authorized_official_telephone_number": "703-729-4692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "0101052907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.