SHAWNA WILLEY (NPI# 1619976792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
3800 Reservoir Rd Nw, Washington, DC 200072113 | 2024444954 |
Street Address |
8081 INNOVATION PARK DR |
City | FAIRFAX |
State | VA |
Zip Code | 22031-4867 |
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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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 |
Find all providers in zip 22031 |
Taxonomy Code | 2086X0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Oncology |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104801844 | Theresa Harrington Stukus | Surgery | 8318 Arlington Blvd Ste 305, Fairfax, VA 22031-5218 | 2005-12-14 |
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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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.