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CHARLES M GRAHAM JR. SA
NPI 1417218157
Specialist/Technologist, Other - Surgical Assistant in Falls Church, VA

Active since May 30, 2012
1069 W BROAD ST, SUITE 908, FALLS CHURCH, VA 22046(540) 239-4852 Get Directions Write a Review

NPPES record last updated: May 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles M Graham Jr. Sa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES M GRAHAM JR. SA (NPI 1417218157) is an individual surgical assistant in Falls Church, Virginia and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1417218157
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameCHARLES M GRAHAM JR.Credential: SA
Location Address1069 W BROAD ST, SUITE 908Falls Church, VA 22046-4610
Mailing Address5119 Prestwick DrFairfax, VA 22030-4537 · (540) 239-4852
Phone(540) 239-4852
Sole ProprietorNo
Enumeration DateMay 30, 2012
✔ NPI 1417218157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
Definition
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 hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
1069 W BROAD ST, Falls Church, VA 22046
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER R ARCHIBALD PA-C
Physician Assistant (Surgical)
1069 W BROAD ST, SUITE 908
FALLS CHURCH, VA 22046
Falls Church City (877) 230-9617
MUKESH CHANDUBHAI PATEL
Specialist/Technologist, Other (Surgical Assistant)
1069 W BROAD ST, SUITE 908
FALLS CHURCH, VA 22046
Falls Church City (703) 406-2267
MS. CLAUDINE PATRICIA HUMPHREY RNFA
Registered Nurse (Registered Nurse First Assistant)
1069 W BROAD ST, SUITE 908
FALLS CHURCH, VA 22046
Falls Church City (877) 230-9617
HEIDI MICHELLE ROSA RN, BSN, CNOR, RNFA
Registered Nurse (Registered Nurse First Assistant)
1069 W BROAD ST, SUITE 908
FALLS CHURCH, VA 22046
Falls Church City (877) 230-9617

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Graham's NPI number?

The NPI number for Charles Graham is 1417218157. It was assigned to this individual provider in the NPPES registry on May 30, 2012.

Where is Charles Graham located?

Charles Graham practices at 1069 W Broad St Suite 908, Falls Church, VA 22046. The listed phone number is (540) 239-4852.

What is Charles Graham's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Charles Graham was last updated on May 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.