Individual provider · Type 1 NPI

Jacob Fellone, CSA

Surgical Assistant · Richmond, VA

NPI number 1174483176 Active

Practice location

1602 Skipwith Rd
Richmond, VA 23229-5205

Call (757) 705-6021 Map

Mailing address

2915 W Stony Hill Ct Apt 3B
Richmond, VA 23235-6857

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant Primary 246ZC0007XNone listed

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 h…

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About NPI 1174483176

Jacob Fellone, CSA's National Provider Identifier is 1174483176, issued on Nov 13, 2025. The primary taxonomy on file is Surgical Assistant (246ZC0007X), and the practice location is in Richmond, VA. The record was last updated on Nov 13, 2025.