Hall Surgical Assistance, LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

HALL SURGICAL ASSISTANCE, LLC

Practice address

10332 Main St
Suite #344
Fairfax, VA 22030-2410

Phone

(703) 798-5924

Fax

(301) 782-9929

NPI assigned

Jun 30, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Dalton Monzellroe Hall Jr., SA-C

Title

Ceo

Phone

(703) 798-5924

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Louis Kalisch, SA-C

  • Surgical Physician Assistant
  • Fairfax, VA
  • NPI 1700234325
  NPD (past)

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1871976522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15607",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222150607",
            "telephone_number": "571-309-9768",
            "fax_number": "888-356-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10332 MAIN ST",
            "address_2": "SUITE #344",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302410",
            "telephone_number": "703-798-5924",
            "fax_number": "301-782-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALL SURGICAL ASSISTANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "DALTON",
        "authorized_official_middle_name": "MONZELLROE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-798-5924",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "SA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Hakeem
• April Hala, PA-C
• Elizabeth Anderson Halabuk, M.D.
• Meghan Elizabeth Hale, PA-C
• Jeanette Haley
• Chandra Tamiko Hall, NP
• Delisa D Hall, CRNA
• Judith T Hall, LCSW
• Kaela Hall
• Kenesha T Hall, MSW

• Surgical Physician Assistant in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Surgical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.