DR. TIMOTHY RODDY SHAVER (NPI# 1417950981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417950981 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY RODDY SHAVER |
| Credential | MD |
| Practice Address |
13135 Lee Jackson Memorial Hwy Ste 305 Fairfax VA 22033-1907 |
| Mailing Address |
13135 Lee Jackson Memorial Hwy Ste 305 Fairfax VA 22033-1909 |
| Practice Telephone | 7033598640 |
| Practice Fax Number | 7035916105 |
| Mailing Telephone | 7033598640 |
| Mailing Fax Number | 7035916105 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2020-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 0101049305 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010068096 | 05 | |
| DC | 051838700 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3620 Joseph Siewick Dr, Suite 406, Fairfax, VA 220331756 | 7033598640 | 7035916105 |
| 13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, VA 220331907 | 7033598640 | 7035916105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275598674 | Timothy Scott Shaver | Specialist | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2006-04-19 |
| 1336145804 | Timothy S Shaver | Internal Medicine | 1921 N Webb Rd, Wichita, KS 67206-3405 | 2005-06-21 |
| Street Address |
13135 LEE JACKSON MEMORIAL HWY STE 305 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-1907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356816862 | Christopher A Reneau | Nurse Practitioner | 13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, VA 22033-1907 | 2018-10-11 |
| 1053764811 | Danielle Eganhouse | Physician Assistant | 13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, VA 22033-1909 | 2016-07-18 |
| 1063856060 | Michael Grant Svestka | Surgery | 13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, VA 22033-1907 | 2013-04-20 |
| 1295094233 | Matthew H Scriven | Surgery | 13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, VA 22033-1907 | 2012-05-11 |
| 1932426095 | Yasmine Assadipour | Surgery | 13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, VA 22033-1907 | 2010-04-29 |
| 1497994891 | Alison Karin Rude | Nurse Practitioner | 13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, VA 22033-1907 | 2009-02-10 |
| 1417119652 | Kevin S Fuller | Physician Assistant | 13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, VA 22033-1907 | 2008-06-30 |
| 1275794497 | George Younan | Surgery | 13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, VA 22033-1907 | 2008-06-20 |
| 1912190430 | Enoch Marvin Sanders Jr. | Surgery | 13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, VA 22033-1907 | 2007-08-20 |
| 1528039708 | Kathleen Marie Cleland | Surgery | 13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, VA 22033-1907 | 2006-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578793212 | Maureen S O'donnell Debritz | Surgery | 3620 Joseph Siewick Dr., Suite 406, Fairfax, VA 22033 | 2009-07-15 |
| 1588837249 | Emergency Surgery, LLC | Surgery | 3133 Barkley Dr, Fairfax, VA 22031-2720 | 2008-04-02 |
| 1871774232 | Chaitanya Krishna Dahagam | Surgery | 8819 Blue Royale Ln, Fairfax, VA 22031-2150 | 2007-11-14 |
| 1861579898 | Kimberly Ann Matzie | Surgery | 2710 Prosperity Ave, Suite 200, Fairfax, VA 22031-4357 | 2006-11-01 |
| 1285743146 | Hernan I Vargas | Surgery | 3650 Joseph Siewick Dr Ste 200, Fairfax, VA 22033-1712 | 2006-08-30 |
| 1134176498 | Teruaki Kodama | Surgery | 8316 Arlington Blvd Ste 602, Fairfax, VA 22031-5216 | 2006-05-30 |
| 1558336081 | Stephanie Akbari | Surgery | 8503 Arlington Blvd Ste 340, Fairfax, VA 22031-4629 | 2006-02-20 |
| 1972582187 | Oswald Felipe Medina | Surgery | 9119 Glenbrook Rd, Fairfax, VA 22031-3010 | 2006-01-16 |
| 1619963139 | Amir Houshang Moazzez | Surgery | 3620 Joseph Siewick Drive, Suite 200, Fairfax, VA 22033 | 2005-09-20 |
| 1598751117 | Hamid Reza Pourshojae | Surgery | 3580 Joseph Siewick Dr Ste 205, Fairfax, VA 22033-1764 | 2005-09-20 |
| Find all providers in FAIRFAX | ||||
Please comment or provide details below to improve the information on DR. TIMOTHY RODDY SHAVER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.