Active NPI
George W. Weston, M.D.
- Plastic Surgery Physician
- Reston, VA
National Provider Identifier
1003925991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 101039622
- Practice address
- 1825 Samuel Morse Dr
Reston, VA 20190-5317 - Phone
- (703) 893-6168
- Fax
- (703) 790-3444
- NPI assigned
- Aug 30, 2006
- Last updated
- Aug 13, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0101039622 | VA | |
| Plastic Surgery Physician | 208200000X | 101039622 | VA | Primary |
Addresses
Primary practice location
1825 Samuel Morse Dr
Reston, VA 20190-5317
Mailing address
1825 Samuel Morse Dr
Reston, VA 20190-5317
Phone (703) 893-6168
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 463704 | Other | VA | ANTHEM NON-PAR PROVIDER # |
| 54-1828638 | Other | VA | TAX ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2013 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101039622 | VA | MD | Specialist |
| 101039622 | VA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Austin-Weston Center for Cosmetic Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Surgical Clinic/Center
- Reston, VA
- NPI 1174613186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376352000000",
"number": "1003925991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 SAMUEL MORSE DR",
"city": "RESTON",
"state": "VA",
"postal_code": "201905317",
"telephone_number": "703-893-6168",
"fax_number": "703-790-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 SAMUEL MORSE DR",
"city": "RESTON",
"state": "VA",
"postal_code": "201905317",
"telephone_number": "703-893-6168",
"fax_number": "703-790-3444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTON",
"first_name": "GEORGE",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2013-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0101039622",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "VA",
"license": "101039622",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM NON-PAR PROVIDER #",
"identifier": "463704",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "54-1828638",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.