DOMINION SURGICAL ASSISTANTS, LLC (NPI# 1962915454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962915454 |
| Entity Type | Organization |
| Organization Name | DOMINION SURGICAL ASSISTANTS, LLC |
| Practice Address |
24440 Stone Springs Blvd Dulles VA 20166 |
| Mailing Address |
25226 Justice Dr South Riding VA 20152-6011 |
| Practice Telephone | 7038617660 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2018-08-24 |
| Authorized Official Name | MS. IRIS MARION CARLINE FERGUSON (PRESIDENT) |
| Authorized Official Telephone | 7038617660 |
| Authorized Official Credential | RN, RNFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
0001130352 | VA | Nursing Service Providers |
| Street Address |
24440 STONE SPRINGS BLVD |
| City | DULLES |
| State | VA |
| Zip Code | 20166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730393745 | Karen Borne Powell | Nurse Practitioner | 24440 Stone Springs Blvd, Dulles, VA 20166-2247 | 2007-05-09 |
| 1972070167 | Kimberly T Prevost | Registered Nurse | 24440 Stone Springs Blvd, Dulles, VA 20166-2247 | 2018-10-26 |
| 1174039572 | Kathleen Donovan | Registered Nurse | 24440 Stone Springs Blvd, Dulles, VA 20166-2247 | 2017-12-20 |
| 1467990309 | Mital Sarada | Dietitian, Registered | 24440 Stone Springs Blvd, Dulles, VA 20166-2247 | 2017-02-10 |
| 1669923967 | Northern Virginia Community Hospital LLC | Internal Medicine | 24440 Stone Springs Blvd, Dulles, VA 20166-2247 | 2016-10-21 |
| 1356790497 | Vesper Medical Associates of Virginia | Internal Medicine | 24440 Stone Springs Blvd, Dulles, VA 20166 | 2016-06-09 |
| 1194100594 | Mdics At Stonesprings, LLC | Hospitalist | 24440 Stone Springs Blvd, Dulles, VA 20166 | 2015-07-27 |
| 1255718235 | Stonesprings Anesthesia Associates, Ltd | Anesthesiology | 24440 Stone Springs Blvd, Dulles, VA 20166-2247 | 2015-04-29 |
| 1881026904 | Oakjoo Lee | Registered Nurse | 24440 Stone Springs Blvd, Dulles, VA 20166 | 2013-07-31 |
| 1215273040 | Iris Marion Carline Ferguson | Registered Nurse | 24440 Stone Springs Blvd, Dulles, VA 20166 | 2012-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881187458 | Vincent Seng | Behavior Technician | 4040 Center Oak Plaza, Suite 150, Sterling, VA 20166 | 2018-06-08 |
| 1205339348 | Morgan Elyse Gillum | Occupational Therapist | 45305 Catalina Ct Ste 101, Sterling, VA 20166 | 2018-03-15 |
| 1376090548 | Chelsea Moore | Behavioral Analyst | 46040 Center Oak Plz Ste 150, Sterling, VA 20166 | 2016-09-06 |
| 1194175711 | Krisha Verma | Dentist | 21631 Ridgetop Cir Ste 240, Sterling, VA 20166 | 2016-06-14 |
| 1265898571 | Bba Home Health Care | Home Health | 23420 Summerstown Place, Dulles, VA 20166 | 2016-01-04 |
| 1588038590 | Mancy Modi | Physical Therapist | 45305 Catalina Court, Suite 103, Sterling, VA 20166 | 2015-11-16 |
| 1912300377 | Kiley Coleman Gibbs | Physical Therapist | 21631 Ridgetop Cir Ste 225a, Sterling, VA 20166 | 2014-09-30 |
| 1053712554 | Rx Ante Pharmacy Services, LLC | Pharmacy | 21630 Ridgetop Circle, Suite 100, Sterling, VA 20166 | 2014-09-16 |
| 1972904738 | Northern Virginia Community Hospital LLC | General Acute Care Hospital | 24440 Stone Springs Boulevard, Dulles, VA 20166 | 2014-09-11 |
| 1518304641 | Institute for The Psychological Sciences | Psychologist | 45154 Underwood Ln., Sterling, VA 20166 | 2013-05-30 |
| Find all providers in zip 20166 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972070167 | Kimberly T Prevost | Registered Nurse | 24440 Stone Springs Blvd, Dulles, VA 20166-2247 | 2018-10-26 |
| 1881026904 | Oakjoo Lee | Registered Nurse | 24440 Stone Springs Blvd, Dulles, VA 20166 | 2013-07-31 |
| 1215273040 | Iris Marion Carline Ferguson | Registered Nurse | 24440 Stone Springs Blvd, Dulles, VA 20166 | 2012-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482607 | Patricia Melodie Mason | Registered Nurse | 13890 Braddock Rd Ste 201, Centreville, VA 20121-2437 | 2020-03-19 |
| 1437632155 | Kathleen Marie Varnell | Registered Nurse | 8004 Cloister Dr, Gloucester, VA 23061-5307 | 2018-09-09 |
| 1952841769 | A.a Sheena Care LLC | Registered Nurse | 3108 Columbia Pike, Arlington, VA 22204-4300 | 2017-02-27 |
| 1083904502 | William Materson Jackson | Registered Nurse | 1730 Brunswick Dr, Blacksburg, VA 24060-1988 | 2011-04-18 |
| 1306086178 | Flordeliza Valencia Mullins | Registered Nurse | 1101 Sam Perry Blvd Ste 207, Fredericksburg, VA 22401-4465 | 2009-03-05 |
| 1912189960 | Emmie S Butterworth | Registered Nurse | 2900 Scherer Dr, Richmond, VA 23235-3104 | 2007-12-02 |
| 1629684428 | Sara Jeanne Glessner | Registered Nurse | 1721 Financial Loop, Lake Ridge, VA 22192-2460 | 2020-09-17 |
| 1942835673 | Jabuda LLC | Registered Nurse | 830 Kempsville Rd, Norfolk, VA 23502-3920 | 2020-03-03 |
| 1538706171 | Susan Arencibia | Registered Nurse | 12011 Lee Jackson Memorial Hwy Ste 501, Fairfax, VA 22033-3315 | 2019-12-03 |
| 1710329016 | Claudine Patricia Humphrey | Registered Nurse | 1069 W Broad St, Suite 908, Falls Church, VA 22046-4610 | 2013-07-27 |
| Find all providers with the same taxonomy | ||||
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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.