Virginia Square Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

VIRGINIA SQUARE DERMATOLOGY PLLC

Practice address

3803 Fairfax Dr Ste 200
Arlington, VA 22203-5860

Phone

(703) 881-9117

Fax

(703) 881-9117

NPI assigned

Aug 11, 2021

Organization subpart

No

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

Authorized official

Name

Isabela Jones, MDNPI 1790041853

Title

Owner

Phone

(703) 881-9117

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00314

Practitioners 4

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

• Isabela Tollini Jones, M.D.

  • Dermatology Physician
  • McLean, VA
  • NPI 1790041853

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Amanda M Campbell, MD

  • Dermatology Physician
  • Arlington, VA
  • NPI 1083005771

  DC

  Medicare reassignment Care Compare group NPD
• Lauren Yi, MD

  • Dermatology Physician
  • Charlottesville, VA
  • NPI 1346875226

  DC

  Medicare reassignment Care Compare group NPD
• Caroline Gerhardt Samuels, MD

  • Student in an Organized Health Care Education/Training Program
  • Durham, NC
  • NPI 1306586136

  DC

  Medicare reassignment

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1689349730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 FAIRFAX DR STE 200",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222035860",
            "telephone_number": "703-881-9117",
            "fax_number": "703-881-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 FAIRFAX DR STE 200",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222035860",
            "telephone_number": "703-881-9117",
            "fax_number": "703-881-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA SQUARE DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ISABELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-881-9117",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Virginia Surgery Group LLC
• Virginia Urodynamics, LLC
• Virginia Vision Associates Optometry PLLC (Virginia Vision Associates)
• Visiting Nurse Solution
• Visual Health Doctors of Optometry

• Dermatology Physician in Arlington, VA
• Providers in Arlington, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.