Organization Active NPI

Mid Atlantic Plastic & Reconstructive Surgery

  • Plastic and Reconstructive Surgery Physician
  • Frederick, MD
National Provider Identifier
1285578658
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
MID ATLANTIC PLASTIC & RECONSTRUCTIVE SURGERY
Practice address
56 Thomas Johnson Dr Ste 100
Frederick, MD 21702-4860
Phone
(301) 378-2015
Fax
(301) 662-4011
NPI assigned
Apr 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Sarah Sofley, RN
Title
Registered Nurse
Phone
(301) 639-0312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

56 Thomas Johnson Dr Ste 100
Frederick, MD 21702-4860

Mailing address

56 Thomas Johnson Dr Ste 100
Frederick, MD 21702-4860
Phone (301) 378-2015

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1285578658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 THOMAS JOHNSON DR STE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024860",
            "telephone_number": "301-378-2015",
            "fax_number": "301-662-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 THOMAS JOHNSON DR STE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024860",
            "telephone_number": "301-378-2015",
            "fax_number": "301-662-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC PLASTIC & RECONSTRUCTIVE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "SOFLEY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "301-639-0312",
        "authorized_official_credential": "RN"
    },
    "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": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.