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

Mr. William Glenn Ivey III, CSA

Individual provider Surgical Assistant · NPI 1649150590

Mr. William Glenn Ivey III, CSA is a Surgical Assistant in Alexandria, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2025

Practice location Address checks out

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone: (703) 504-3000
Show map & directions

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 5782 (VA)

Record details

NPI number1649150590
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorYes
NPI enumeratedSeptember 3, 2025
Last updated in NPPESOctober 24, 2025
Certification dateSeptember 3, 2025

Other providers in Alexandria