VICTORIA PLASTIC SURGERY CENTER, INC. (NPI# 1700903408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700903408 |
Entity Type | Organization |
Organization Name | VICTORIA PLASTIC SURGERY CENTER, INC. |
Practice Address |
8503 Arlington Blvd Suite 130 Fairfax VA 22031-4628 |
Practice Telephone | 7038460097 |
Practice Fax Number | 7038460802 |
Mailing Telephone | 7038460097 |
Mailing Fax Number | 7038460802 |
Enumeration Date | 2007-03-26 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. YONGSOOK VICTORIA SUH (PRESIDENT) |
Authorized Official Telephone | 7038460097 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 0101057456 | VA | Other Service Providers |
Street Address |
8503 ARLINGTON BLVD SUITE 130 |
City | FAIRFAX |
State | VA |
Zip Code | 22031-4628 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518968601 | Robert Alan Ball | Urology | 8503 Arlington Blvd, #310, Fairfax, VA 22031-4628 | 2005-08-10 |
1780179192 | Nicole M. Papanicolas | Nurse Practitioner | 8503 Arlington Blvd, Fairfax, VA 22031-4628 | 2018-06-27 |
1053847293 | Virginia Cancer Specialists, P.C. | Pharmacy | 8503 Arlington Blvd, Suite 320, Fairfax, VA 22031-4628 | 2017-05-09 |
1700329406 | Saundra Weller | Social Worker | 8503 Arlington Blvd, Suite 400, Fairfax, VA 22031-4628 | 2016-11-29 |
1265975437 | Laboratory Corporation of America | Clinical Medical Laboratory | 8503 Arlington Blvd, Suite 310 A, Fairfax, VA 22031-4628 | 2016-11-21 |
1881035491 | Brandi N Hardy | Nurse Practitioner | 8503 Arlington Blvd, Suite 200, Fairfax, VA 22031-4628 | 2013-07-11 |
1659615045 | Princeton Longevity Medical Group of Virginia LLC | Internal Medicine | 8503 Arlington Blvd, Fairfax, VA 22031-4628 | 2012-11-26 |
1528318334 | Christine Mary Helou | Nurse Practitioner | 8503 Arlington Blvd, Suite 400, Fairfax, VA 22031-4628 | 2012-09-19 |
1881963403 | Timothy Andrew Mccarthy | Internal Medicine | 8503 Arlington Blvd, Suite 400, Fairfax, VA 22031-4628 | 2011-12-28 |
1952636581 | Inova Reston Mri Center LLC | Clinic/Center | 8503 Arlington Blvd, Suite Ll100, Fairfax, VA 22031-4628 | 2009-10-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
Find all providers in zip 22031 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841748829 | Katherine Thompson | Specialist | 3525 Mclean Ave, Fairfax, VA 22030-3007 | 2016-09-19 |
1932574019 | Tracie Reyes | Specialist | 11240 Waples Mill Rd Ste 100, Fairfax, VA 22030-6078 | 2015-12-01 |
1669845236 | Lauren Washington | Specialist | 11240 Waples Mill Rd Ste 301, Fairfax, VA 22030-6078 | 2015-11-04 |
1457746513 | Stephanie Bolger | Specialist | 10700 Zion Dr, Fairfax, VA 22032-3432 | 2015-04-05 |
1588066096 | Erin Stephenson | Specialist | 12881 Fair Valley Ct, Fairfax, VA 22033-3816 | 2014-09-16 |
1609114081 | Rachel Fannell Eisenfeld | Specialist | 10660 Page Ave, Fairfax, VA 22030-4098 | 2013-01-20 |
1043563422 | Maryann G Rozzell | Specialist | 3422 Barkley Dr, Fairfax, VA 22031-2724 | 2012-10-22 |
1861776551 | Wilbert Aguila | Specialist | 12678 Marcum Ct, Fairfax, VA 22033-2457 | 2011-09-29 |
1558692681 | Jacquelyn Lewis | Specialist | 1193 Ethan Allen Hwy, Fairfax, VT 05454-5433 | 2010-01-29 |
1861679896 | Linda O'toole Glick | Specialist | 11106 Del Rio Dr, Fairfax, VA 22030-5339 | 2008-01-22 |
Find all providers in FAIRFAX |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.