JILL BIANCA WATRAS (NPI# 1023224284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023224284 |
| Entity Type | Individual |
| Full Name | JILL BIANCA WATRAS |
| Other Name | JILL BIANCA HALONEN |
| Credential | M.D. |
| Practice Address |
3300 Gallows Rd Falls Church VA 22042 |
| Mailing Address |
6105 Housatonic Ct Fairfax Station VA 22039-1305 |
| Practice Telephone | 7037765912 |
| Mailing Telephone | 7038676793 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 4301095745 | MI | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
0101257513 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2799 W Grand Blvd, Dept. of Surgery, Detroit, MI 482022608 | 3139163057 |
| Street Address |
3300 GALLOWS RD |
| City | FALLS CHURCH |
| State | VA |
| Zip Code | 22042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639177942 | Bestpractices, Inc. | Emergency Medicine | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2005-07-11 |
| 1659971216 | Mahsa Roohani | Nurse Practitioner | 3300 Gallows Rd, Falls Church, VA 22042-3300 | 2020-10-31 |
| 1861092330 | Jessica Merberg | Genetic Counselor, MS | 3300 Gallows Rd, Falls Church, VA 22042-3300 | 2020-10-26 |
| 1366042780 | Kirsten Smith | Nurse Practitioner | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2020-10-26 |
| 1629677026 | Laurie Brutus | Registered Nurse | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2020-10-19 |
| 1184223539 | Mirnesa Tikvina | Registered Nurse | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2020-10-17 |
| 1073111779 | Kirsten Kadlec | Nurse Anesthetist, Certified Registered | 3300 Gallows Rd, Falls Church, VA 22042-3300 | 2020-10-14 |
| 1114525953 | Jennifer Yung | Registered Nurse | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2020-10-14 |
| 1720685522 | Laura Musser | Registered Nurse | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2020-10-05 |
| 1154938926 | Heather Elizabeth Carvalho | Nurse Practitioner | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2020-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220190 | Alicia Derusso St. Thomas | Student in an Organized Health Care Education/Training Program | Obgyn Admin Suite 2nd Floor South Tower, 3300 Gallows Rd, Falls Church, VA 22042 | 2020-06-23 |
| 1316574320 | Marina A Kalugina | Radiologic Technologist | 3330 Gallows Rd, Falls Church, VA 22042 | 2020-03-27 |
| 1992347645 | Home Injections Plus LLC | Registered Nurse | 7598 Lakeside Village Dr, Unit E, Falls Church, VA 22042 | 2019-10-15 |
| 1205493129 | Meredith Hooover | Obstetrics & Gynecology | 3300 Gallows Rd Falls Church, Va 22042 - 3307, Arlington, VA 22042 | 2019-05-27 |
| 1699269076 | Ibrahim Tora | Student in an Organized Health Care Education/Training Program | Department of Medicine, Npt-2, 3300 Gallows Rd, Falls Church, VA 22042 | 2018-06-19 |
| 1528559960 | Robert Patton | Student in an Organized Health Care Education/Training Program | Inova Fairfax Medical Campus, 3300 Gallows Road, Department of Medicine, Npt-2, Falls Church, VA 22042 | 2018-05-22 |
| 1144726951 | Helene M Sterbling | Student in an Organized Health Care Education/Training Program | Inova Fairfax Medical Campus, 3300 Gallows Road, Falls Church, VA 22042 | 2018-04-02 |
| 1659876530 | Cassandra Lyn Presti | Obstetrics & Gynecology | 3300 Gallows Rd Fl 2, Falls Church, VA 22042 | 2018-03-24 |
| 1225530157 | Sara Sigler | Audiologist | 3036 Graham Rd - Main Office Suite, Graham Road Community Building, Falls Church, VA 22042 | 2018-03-07 |
| 1003314949 | Ameriwell Clinics Falls Church, LLC | Chiropractor | 6521 Arlington Blvd Suite 402, Falls Church, VA 22042 | 2018-01-25 |
| Find all providers in zip 22042 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1811500754 | Juan Carlos Torres | Surgery | 4100 David Ln, Alexandria, VA 22311-1113 | 2020-08-29 |
| 1770132409 | Hiba Ezzeddine | Surgery | Vcuhs Dept of Acute Care Surgery Fellowship, 980454, 1250 E. Marshall Street, Richmond, VA 23298-0454 | 2019-09-05 |
| 1669943890 | Taylor Erin D'etcheverry | Surgery | 20560 Southport Landing Pl, Smithfield, VA 23430-8116 | 2018-12-16 |
| 1780997080 | Dustin Donley | Surgery | 7101 Jahnke Rd Bldg Suite260, Richmond, VA 23225-4017 | 2010-07-15 |
| 1417936493 | Joseph Charles Babrowicz Jr. | Surgery | 3299 Woodburn Rd Ste 230, Annandale, VA 22003-7319 | 2006-01-10 |
| 1114366028 | Charles Kevin Grigsby | Surgery | 825 Fairfax Ave Ste 610, Norfolk, VA 23507-1912 | 2013-06-25 |
| 1831487479 | Asanthi Marian Ratnasekera | Surgery | 1250 E Marshall St, Pob 980257, Richmond, VA 23298-0257 | 2011-07-18 |
| 1255621900 | Michael T Martyak | Surgery | 825 Fairfax Ave Ste 610, Norfolk, VA 23507-1914 | 2011-04-14 |
| 1104116235 | John Patrick Davis | Surgery | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2011-04-11 |
| 1952625576 | Jacob R Gillen | Surgery | 1906 Belleview Ave Se, Roanoke, VA 24014 | 2010-03-25 |
| Find all providers with the same taxonomy | ||||
| City | FALLS CHURCH |
| Zip Code | 22042 |
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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.