Individual provider Active NPI

George W. Weston, M.D.

  • Plastic Surgery Physician
  • Reston, VA
National Provider Identifier
1003925991
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
101039622 Issued in VA
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
463704OtherVAANTHEM NON-PAR PROVIDER #
54-1828638OtherVATAX 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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
0101039622VAMDSpecialist
101039622VAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.