Craig R. Dufresne, M.D., P.C.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

CRAIG R. DUFRESNE, M.D., P.C.

Practice address

5530 Wisconsin Ave
Suite 1208
Chevy Chase, MD 20815-4404

Phone

(301) 654-9151

NPI assigned

Apr 24, 2013

Last updated

Apr 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Craig R. Dufresne, M.D.NPI 1972525392

Title

President

Phone

(703) 207-3065

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Craig R Dufresne MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Craig R. Dufresne, M.D., P.C.

  • Plastic and Reconstructive Surgery Physician
  • Fairfax, VA
  • NPI 1992149686
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig R Dufresne, M.D., F.A.C.S.

  • Plastic and Reconstructive Surgery Physician
  • Fairfax, VA
  • NPI 1972525392
  NPD (past) Authorized official
• Samuel J Potolicchio Jr., MD

  • Neurological Surgery Physician
  • Bethesda, MD
  • NPI 1114993367
  NPD (past)
• Ali Al-Attar, MD

  • Plastic Surgery Physician
  • Alexandria, VA
  • NPI 1659529907
  NPD (past)
• Christopher Charles Chang, MD

  • Plastic Surgery Physician
  • Fairfax, VA
  • NPI 1851558670
  NPD (past)

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1245674936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 ARLINGTON BLVD",
            "address_2": "SUITE 420",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314617",
            "telephone_number": "703-207-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE",
            "address_2": "SUITE 1208",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154404",
            "telephone_number": "301-654-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG R. DUFRESNE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "DUFRESNE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-207-3065",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTEN",
            "identifier": "166727",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Coudenhove-Kalergi, LCSW-C
• Sara Covington Dickson, LGPC
• Daniel Wade Cox, PH.D.
• CPS Partners LLC
• Mary K Craddock, MEDICAL DOCTOR
• Richele Lynn Creppel, DNP
• Cresenciano C Lopez MD PA
• Cronin Dermatology and Skin Cancer Center, LLC
• Hyland Elizabeth Cronin, M.D.
• Linda Croom, ANP, C

• Plastic and Reconstructive Surgery Physician in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Plastic and Reconstructive Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.