SHAWNA WILLEY


Address: 8081 Innovation Park Dr, Fairfax, VA 22031-4867
Phone: 5714724724

SHAWNA WILLEY (NPI# 1619976792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619976792
Entity Type Individual
Full Name SHAWNA WILLEY
Credential MD
Practice Address 8081 Innovation Park Dr
Fairfax
VA 22031-4867
Mailing Address Po Box 418283
Boston
MA 02241-8283
Practice Telephone 5714724724
Practice Fax Number 5714720241
Mailing Telephone 7035581544
Enumeration Date 2005-07-20
Last Update Date 2020-10-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086X0206X Surgery
Specialization: Surgical Oncology
0101042052 VA Allopathic & Osteopathic Physicians
N 2086X0206X Surgery
Specialization: Surgical Oncology
14296 DC Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
3800 Reservoir Rd Nw, Washington, DC 200072113 2024444954

Office Location

Street Address 8081 INNOVATION PARK DR
City FAIRFAX
State VA
Zip Code 22031-4867

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659978104 Soojeong Lee Nurse Practitioner 8081 Innovation Park Dr, Fairfax, VA 22031-4867 2020-10-07
1457960528 Julie Littlejohn Nurse Practitioner 8081 Innovation Park Dr, Fairfax, VA 22031-4867 2020-07-24
1639704786 Guinevere Zimmerman Registered Nurse 8081 Innovation Park Dr, Fairfax, VA 22031-4867 2020-03-10
1184262958 Taylor Horne 8081 Innovation Park Dr, Fairfax, VA 22031-4867 2019-12-12
1619526720 Inova Health Care Services Clinic/Center 8081 Innovation Park Dr, Fairfax, VA 22031-4867 2019-09-11
1851953269 Bilal Abboud Pharmacist 8081 Innovation Park Dr, Fairfax, VA 22031-4867 2019-07-05
1962960021 Miriam Dunn Nurse Practitioner 8081 Innovation Park Dr, Fairfax, VA 22031-4867 2019-03-07
1568929701 Lubna Saqib Nurse Practitioner 8081 Innovation Park Dr, Fairfax, VA 22031-4867 2019-02-25
1275097123 Inova Health Care Services Internal Medicine 8081 Innovation Park Dr, Fairfax, VA 22031-4867 2019-01-24
1376068825 Jennifer Espinola Nurse Practitioner 8081 Innovation Park Dr, Fairfax, VA 22031-4867 2017-08-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902414105 Su Jung Kang Dentist 9661-c Main Street, Fairfax, VA 22031 2020-07-14
1346896347 Fuling Guo Acupuncturist 3013 James St, Fairfax, VA 22031 2019-08-15
1902458797 Kayla Callister Psychologist 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 2019-07-11
1790349801 Fairfax Dental Esthetics Dentist 9621 Fairfax Blvd., Fairfax, VA 22031 2019-04-24
1417427675 Kathryn Yen Ho Speech-Language Pathologist 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 2018-11-30
1932681376 Joanne Towers Physician Assistant 3025 Hamaker Court Suite 300, Fairfax, VA 22031 2018-09-01
1790262020 S Renee Dennis Nurse Practitioner 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 2018-07-19
1013493451 Elizabeth Joan Dwyer Physician Assistant 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 2018-07-18
1316432669 Delta Pharm LLC Pharmacy 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 2018-06-28
1629567656 Laura Breeden Acupuncturist 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 2018-05-04
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Taxonomy Information

Taxonomy Code 2086X0206X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgical Oncology

Taxonomy Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104801844 Theresa Harrington Stukus Surgery 8318 Arlington Blvd Ste 305, Fairfax, VA 22031-5218 2005-12-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770976078 John Edward Niederhuber Surgery 3300 Gallows Road; Floor 2, Claude Moore Bldg., Inova Health Care Services; Dba Inova Fairfax Hospital, Falls Church, VA 22042 2015-03-11
1013341171 Surgical Support Services LLC Surgery 12439 Walnut Hill Drive, Rockville, VA 23146 2013-08-26
1477687283 Craig L. Slingluff Jr. Surgery Uva Hospital West The Cancer Ctr, Hospital Drive, Charlottesville, VA 22908-0001 2007-03-15
1881763423 Anneke T. Schroen Surgery 1300 Jefferson Park Ave Ste 1101, Charlottesville, VA 22903-3363 2006-11-07
1669436044 Michael Anthony Covelli Surgery 200 Arh Ln 102, Low Moor, VA 24457 2006-04-13
1508240797 Nathan James Branson Surgery 11803 Jefferson Ave, Ste 235, Newport News, VA 23606-2565 2015-07-17
1396083721 Bon Secours-st. Mary's Hospital of Richmond, Inc. Surgery 5855 Bremo Rd, Suite 606, Richmond, VA 23226-1930 2013-01-18
1033426150 Marybeth Scavone Hughes Surgery 825 Fairfax Ave, Ste 610, Norfolk, VA 23507-1914 2010-09-10
1821320763 Sentara Medical Group Surgery 4000 Coliseum Dr, Suite 280, Hampton, VA 23666-5906 2010-02-03
1205168143 Sentara Medical Grou P Surgery 5659 Parkway Dr, Suite 210a, Gloucester, VA 23061-3792 2010-02-03
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Competitor

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City FAIRFAX
Zip Code 22031

Improve Information

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Dataset Information

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.

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