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

Mr. Robert Reid Nottingham Jr., CSA

Individual provider Surgical Assistant · NPI 1164080321

Mr. Robert Reid Nottingham Jr., CSA is a Surgical Assistant in Arlington, Virginia. Practices as a sole proprietor and works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

2300 Wilson Blvd Ste 700
Arlington, VA 22201-5435
Phone: (757) 439-0033
Show map & directions

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

Additional practice locations (1)

  • 8116 Arlington Blvd Ste 183, Falls Church, VA 22042-1002 — (703) 659-4557

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X (VA)
Surgical Assistant Taxonomy 246ZC0007X · Licence 5016 (VA)

Record details

NPI number1164080321
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorYes
NPI enumeratedJune 3, 2019
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023

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