Asfa Plastic Surgery, Inc.

Organization Active NPI Plastic and Reconstructive Surgery Physician · Rockingham, VA

NPI 1104078799 · NPPES record last updated Jun 26, 2024

Key facts

NPI
1104078799
Entity type
Organization (NPI type 2)
Primary specialty
Plastic and Reconstructive Surgery Physician 2086S0122X
License
0101244269 (VA)
Legal business name
ASFA PLASTIC SURGERY, INC.
Practice address
3302 Albert Long Dr
Rockingham, VA 22801-2473
Phone
(540) 432-0303
Fax
(540) 432-9966
NPI assigned
Oct 15, 2008
Organization subpart
No

Authorized official

Name
Tina E Payne
Title
Practice Manager
Phone
(540) 432-0303

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20081025000173 VA Part B Supplier - Clinic/Group Practice 4688732233 Receives reassigned benefits from 1 practitioner
Practice locations: Rockingham, VA

National Provider Directory

Locations

3302 Albert Long Dr
Rockingham, VA 22801
Phone (540) 432-0303

1502 Brookhaven Dr
Rockingham, VA 22801
Phone (540) 432-0303

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2086S0122X 0101244269 VA Yes

Addresses

Primary practice location

3302 Albert Long Dr
Rockingham, VA 22801-2473

Mailing address

3302 Albert Long Dr
Rockingham, VA 22801-2473
Phone (540) 432-0303

Other providers in Rockingham, VA

All providers in Rockingham, VA · Plastic and Reconstructive Surgery Physician in Virginia

Sources for this page

Verify at the official NPI Registry.