Organization Active NPI

Greater Washington Plastic Surgery Associates, LLC

  • Plastic Surgery Physician
  • Fairfax, VA
National Provider Identifier
1003074113
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
D67453 Issued in MD
Legal business name
GREATER WASHINGTON PLASTIC SURGERY ASSOCIATES, LLC
Practice address
2826 Old Lee Hwy
Suite 330
Fairfax, VA 22031
Phone
(703) 544-8971
Fax
(703) 562-6994
NPI assigned
May 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Vineet Mehan, MD
Title
President
Phone
(703) 544-8971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X D67453 MD Primary

Addresses

Primary practice location

2826 Old Lee Hwy
Suite 330
Fairfax, VA 22031

Mailing address

PO Box 2735
Merrifield, VA 22116-2735
Phone (703) 544-8971

National Provider Directory

National Provider Directory

Locations

2121 Medical Park Dr
Ste 6
Silver Spring, MD 20902
Phone (301) 362-9813

3301 Woodburn Rd
Ste 107
Annandale, VA 22003
Phone (703) 876-0437

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1003074113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2735",
            "city": "MERRIFIELD",
            "state": "VA",
            "postal_code": "221162735",
            "telephone_number": "703-544-8971",
            "fax_number": "703-562-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 OLD LEE HWY",
            "address_2": "SUITE 330",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "703-544-8971",
            "fax_number": "703-562-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER WASHINGTON PLASTIC SURGERY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-26",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "MEHAN",
        "authorized_official_first_name": "VINEET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-544-8971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D67453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.