Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Fellone, CSA

Individual provider Surgical Assistant · NPI 1174483176

Jacob Fellone, CSA is a Surgical Assistant in Richmond, Virginia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1602 Skipwith Rd
Richmond, VA 23229-5205
Phone: (757) 705-6021
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X

Record details

NPI number1174483176
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorNo
NPI enumeratedNovember 13, 2025
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025
Mailing address2915 W Stony Hill Ct Apt 3b, Richmond, VA 23235-6857

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