Dominion Plastic Surgery LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

DOMINION PLASTIC SURGERY LLC

Practice address

2755 Hartland Rd Ste 204
Falls Church, VA 22043-3544

Phone

(703) 884-2399

Fax

(703) 884-2399

NPI assigned

May 30, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Vineet MehanNPI 1194943555

Title

Director

Phone

(703) 544-8971

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Practitioners 2

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

• Vineet Mehan, MD

  • Plastic Surgery Physician
  • Falls Church, VA
  • NPI 1194943555

  DC

  Medicare reassignment NPD Authorized official
• Amber McCormick, PA-C

  • Physician Assistant
  • Fairfax, VA
  • NPI 1639731417

  DC

  Medicare reassignment

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496102400000",
    "number": "1215465646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 HARTLAND RD STE 204",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433544",
            "telephone_number": "703-884-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 HARTLAND RD STE 204",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433544",
            "telephone_number": "703-884-2399",
            "fax_number": "703-884-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2017-05-30",
        "status": "A",
        "authorized_official_last_name": "MEHAN",
        "authorized_official_first_name": "VINEET",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-544-8971",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oleg Dolghi, M.D
• Rubina Dolvane, M.D.
• Dominion Home Health Care LLC
• Dominion Hospital Physicians Group
• Dominion Plastic Surgery LLC
• Dominion Plastic Surgery LLC
• Dominion Plastic Surgery LLC
• Dominion Surgical Associates, LLC
• Dominion Surgical Specialists, LLC
• Yu Dong, M.D., PH.D.

• Plastic and Reconstructive Surgery Physician in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Plastic and Reconstructive Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.