NPIMap

Organization Active NPI

Sean F. Wolfort

  • Plastic Surgery Physician
  • Vienna, VA
National Provider Identifier
1396173092
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0101238737 Issued in VA
Legal business name
SEAN F. WOLFORT
Practice address
421 Church St NE
Suite H
Vienna, VA 22180-4708
Phone
(703) 242-6363
NPI assigned
Oct 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
Dr. Sean F Wolfort, M.D.NPI 1477517712
Title
Owner
Phone
(703) 242-6363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 0101238737 VA Primary

Addresses

Primary practice location

421 Church St NE
Suite H
Vienna, VA 22180-4708

Mailing address

421 Church St NE
Suite H
Vienna, VA 22180
Phone (703) 242-6363

National Provider Directory

National Provider Directory

Locations

421 Church St NE
Ste H
Vienna, VA 22180
Phone (703) 242-6363

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1396173092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 CHURCH ST NE",
            "address_2": "SUITE H",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "22180",
            "telephone_number": "703-242-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 CHURCH ST NE",
            "address_2": "SUITE H",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804708",
            "telephone_number": "703-242-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN F. WOLFORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "WOLFORT",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-242-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101238737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

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