CRAIG R. DUFRESNE, M.D., P.C. (NPI# 1992149686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992149686 |
| Entity Type | Organization |
| Organization Name | CRAIG R. DUFRESNE, M.D., P.C. |
| Practice Address |
8501 Arlington Blvd Suite 420 Fairfax VA 22031-4617 |
| Practice Telephone | 7032073065 |
| Mailing Telephone | 7032073065 |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |
| Authorized Official Name | CRAIG R DUFRESNE (PRESIDENT) |
| Authorized Official Telephone | 7032073065 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTEN | 166727 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245674936 | Craig R. Dufresne, M.d., P.C. | Surgery | 5530 Wisconsin Ave, Suite 1208, Chevy Chase, MD 20815-4404 | 2013-04-24 |
| Street Address |
8501 ARLINGTON BLVD SUITE 420 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-4617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043211006 | Medical Oncology and Hematology Assoc of Northern Virginia | Internal Medicine | 8501 Arlington Blvd, Suite 340, Fairfax, VA 22031-4617 | 2005-08-02 |
| 1215573860 | Emilie Ann Smith | Obstetrics & Gynecology | 8501 Arlington Blvd, Suite 500, Fairfax, VA 22031-4631 | 2019-11-19 |
| 1164974325 | Rebecca M Hindman | Advanced Practice Midwife | 8501 Arlington Blvd, Suite 300, Fairfax, VA 22031-4617 | 2016-11-03 |
| 1548715154 | Melissa Nicole Womble | Clinical Neuropsychologist | 8501 Arlington Blvd, Fairfax, VA 22031-4617 | 2016-08-24 |
| 1235581935 | Meghan Martin | Nurse Practitioner | 8501 Arlington Blvd, Suite #330, Fairfax, VA 22031-4617 | 2016-07-06 |
| 1164887352 | Esther Chou | Specialist/Technologist | 8501 Arlington Blvd, Ste. 200, Fairfax, VA 22031-4617 | 2015-12-15 |
| 1336558592 | Kimberly Kelshian | Occupational Therapist | 8501 Arlington Blvd, Suite 400, Fairfax, VA 22031-4617 | 2014-08-12 |
| 1821402959 | Samantha M Skeen | Physician Assistant | 8501 Arlington Blvd, Suite 330, Fairfax, VA 22031-4617 | 2014-06-17 |
| 1649697848 | Jennifer Truax | Nurse Practitioner | 8501 Arlington Blvd, #300, Fairfax, VA 22031-4617 | 2014-03-25 |
| 1790108744 | Brett Gustman | Specialist/Technologist | 8501 Arlington Blvd, Suite #200, Fairfax, VA 22031-4617 | 2014-01-28 |
| Find all providers in the same location | ||||
| 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 | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134619166 | Aesthetic Center for Plastic Surgery | Surgery | 6845 Elm St Ste 708, Mc Lean, VA 22101-3851 | 2018-05-15 |
| 1720504244 | Dominion Surgical Specialists, LLC | Surgery | 2755 Hartland Rd Ste 300, Falls Church, VA 22043-3545 | 2017-08-16 |
| 1215465646 | Dominion Plastic Surgery LLC | Surgery | 2755 Hartland Rd Ste 204, Falls Church, VA 22043-3544 | 2017-05-30 |
| 1609018928 | Nicholas R Galardi | Surgery | 300 Medical Pkwy Ste 316, Chesapeake, VA 23320-4985 | 2009-04-01 |
| 1285835488 | Julia Stevenson | Surgery | 300 Medical Pkwy Ste 300, Chesapeake, VA 23320-4985 | 2007-05-29 |
| 1952516734 | Richard Gordon Lewis Jr. | Surgery | 2331a Robious Station Cir, Midlothian, VA 23113-2124 | 2007-05-14 |
| 1184768939 | Roanoke Plastic Surgery Plc | Surgery | 1118 First Street Sw, Roanoke, VA 24016-4702 | 2007-02-16 |
| 1851402515 | Nadia P Blanchet | Surgery | 9210 Forest Hill Avenue, Suite B1, Richmond, VA 23235-6880 | 2006-08-31 |
| 1255449872 | Magee-rosenblum Plastic Surgery, Inc | Surgery | 5818 Harbour View Blvd Ste 200, Suffolk, VA 23435-3315 | 2006-08-25 |
| 1235158189 | Balvant Parashram Arora | Surgery | 1101 Sam Perry Blvd., Suite 121, Fredericksburg, VA 22401-4467 | 2006-07-19 |
| Find all providers with the same taxonomy | ||||
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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.