NPI 1174483176

Jacob Fellone, CSA

Practitioner Surgical Assistant Richmond, VA

Practice location

Address: 1602 Skipwith Rd, Richmond, VA 23229-5205
Phone: (757) 705-6021
Mailing address: 2915 W Stony Hill CT APT 3b, Richmond, VA 23235-6857

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X

Other Specialist/Technologist, Other providers in Virginia →

Registry record

NPI: 1174483176
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Nov 2025
Record last updated: 13 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.