DARRELL LEVERN SHAW (NPI# 1942738323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942738323 |
| Entity Type | Individual |
| Full Name | DARRELL LEVERN SHAW |
| Credential | CST/CSFA |
| Practice Address |
8116 Arlington Blvd Ste 183 Falls Church VA 22042-1002 |
| Practice Telephone | 7036594557 |
| Practice Fax Number | 7032059010 |
| Mailing Telephone | 7036594557 |
| Mailing Fax Number | 7032059010 |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2017-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
SA0189 | DC | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NBSTSA | 170342 | 01 | |
| DC | DEPT OF HEALTH BOARD OF MEDICINE | SA0189 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962608414 | Darrell Shaw | Case Manager/Care Coordinator | 522 Mill Rd, Clarksville, AR 72830-8511 | 2007-06-22 |
| 1053427419 | Darrell Dupree Shaw | Pharmacist | 4800 Memorial Dr, Waco, TX 76711-1329 | 2006-08-21 |
| Street Address |
8116 ARLINGTON BLVD STE 183 |
| City | FALLS CHURCH |
| State | VA |
| Zip Code | 22042-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942405048 | Michael Ouden | Specialist/Technologist, Other | 8116 Arlington Blvd Ste 183, Falls Church, VA 22042-1002 | 2007-06-19 |
| 1164080321 | Robert Reid Nottingham Jr. | Specialist/Technologist, Other | 8116 Arlington Blvd Ste 183, Falls Church, VA 22042-1002 | 2019-06-03 |
| 1205334687 | Monica Sooby Haas | Specialist/Technologist, Other | 8116 Arlington Blvd Ste 183, Falls Church, VA 22042-1002 | 2018-01-31 |
| 1992233381 | Frances A Dargan | Specialist/Technologist, Other | 8116 Arlington Blvd Ste 183, Falls Church, VA 22042-1002 | 2017-05-30 |
| 1720469935 | Javed Momand | Specialist/Technologist, Other | 8116 Arlington Blvd Ste 183, Falls Church, VA 22042-1002 | 2015-06-12 |
| 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 | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710246319 | Romarico Balotro Garcia | Specialist/Technologist, Other | 1069 W Broad St Ste 908, Falls Church, VA 22046-4610 | 2012-05-16 |
| 1073793238 | Kevin Washington | Specialist/Technologist, Other | 3200 Gallows Road, Falls Church, VA 22042 | 2007-11-05 |
| 1497952188 | Marcell Wells | Specialist/Technologist, Other | 8116 Arlington Blvd, Suite 183, Falls Church, VA 22042-1002 | 2007-06-27 |
| 1942405048 | Michael Ouden | Specialist/Technologist, Other | 8116 Arlington Blvd Ste 183, Falls Church, VA 22042-1002 | 2007-06-19 |
| 1942356761 | Thomas Hegens | Specialist/Technologist, Other | 8116 Arlington Blvd Ste 117, Falls Church, VA 22042-1002 | 2007-01-26 |
| 1164080321 | Robert Reid Nottingham Jr. | Specialist/Technologist, Other | 8116 Arlington Blvd Ste 183, Falls Church, VA 22042-1002 | 2019-06-03 |
| 1205334687 | Monica Sooby Haas | Specialist/Technologist, Other | 8116 Arlington Blvd Ste 183, Falls Church, VA 22042-1002 | 2018-01-31 |
| 1992233381 | Frances A Dargan | Specialist/Technologist, Other | 8116 Arlington Blvd Ste 183, Falls Church, VA 22042-1002 | 2017-05-30 |
| 1720469935 | Javed Momand | Specialist/Technologist, Other | 8116 Arlington Blvd Ste 183, Falls Church, VA 22042-1002 | 2015-06-12 |
| 1528329109 | Mukesh Chandubhai Patel | Specialist/Technologist, Other | 1069 W Broad St, Suite 908, Falls Church, VA 22046-4610 | 2012-05-31 |
| 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.