MR. MATTHEW ALLEN CISSELL (NPI# 1275817934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275817934 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW ALLEN CISSELL |
| Credential | PA-C |
| Practice Address |
3300 Gallows Rd Falls Church VA 22042-3307 |
| Practice Telephone | 7037768711 |
| Mailing Telephone | 7037768711 |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2015-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1102319 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C0004795 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0110-004585 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3300 GALLOWS RD |
| City | FALLS CHURCH |
| State | VA |
| Zip Code | 22042-3307 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275091365 | Amber Diane Burley | Physician Assistant | 6319 Castle Pl Ste 2a, Falls Church, VA 22044-1907 | 2019-03-07 |
| 1154860724 | Seher Rakin | Physician Assistant | 6319 Castle Pl Ste 2c, Falls Church, VA 22044-1907 | 2017-02-15 |
| 1538586813 | Hafida Boufalla | Physician Assistant | 6133 Leesburg Pike Apt 402, Falls Church, VA 22041-2162 | 2014-03-25 |
| 1497010649 | Leslie Inmon Hudson | Physician Assistant | 7115 Leesburg Pike Ste 201, Falls Church, VA 22043-2301 | 2012-07-12 |
| 1437236833 | Margaret Mary Collins | Physician Assistant | 6196 Arlington Blvd, Falls Church, VA 22044-2902 | 2006-11-01 |
| 1336151687 | Janet Rigberg-mayes | Physician Assistant | 2034 Franklin Cluster Ct, Falls Church, VA 22043-1875 | 2006-08-13 |
| 1730196924 | Richard Weber | Physician Assistant | 7700 Arlington Blvd Ste 3nw140c, Falls Church, VA 22042-2929 | 2006-08-01 |
| 1003867003 | Alissa Mills | Physician Assistant | 6565 Arlington Blvd Ste 200, Falls Church, VA 22042-3000 | 2006-05-14 |
| 1336133164 | Kevin R Kupferer | Physician Assistant | 7700 Arlington Blvd, Falls Church, VA 22042-2929 | 2005-09-08 |
| 1497371009 | Rachel Abigail Berzon | Physician Assistant | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2020-06-19 |
| Find all providers in FALLS CHURCH | ||||
| 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.