Active NPI
Victoria Plastic Surgery Center, Inc.
- Specialist
- Fairfax, VA
National Provider Identifier
1700903408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101057456
- Legal business name
- VICTORIA PLASTIC SURGERY CENTER, INC.
- Practice address
- 8503 Arlington Blvd
Suite 130
Fairfax, VA 22031-4628 - Phone
- (703) 846-0097
- Fax
- (703) 846-0802
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yongsook Victoria Suh, M.D.
- Title
- President
- Phone
- (703) 846-0097
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0101057456 | VA | Primary |
Addresses
Primary practice location
8503 Arlington Blvd
Suite 130
Fairfax, VA 22031-4628
Mailing address
8503 Arlington Blvd
Suite 130
Fairfax, VA 22031-4628
Phone (703) 846-0097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8503 Arlington Blvd
Ste 130
Fairfax, VA 22031
Phone (703) 846-0097
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": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1700903408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8503 ARLINGTON BLVD",
"address_2": "SUITE 130",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314628",
"telephone_number": "703-846-0097",
"fax_number": "703-846-0802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8503 ARLINGTON BLVD",
"address_2": "SUITE 130",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314628",
"telephone_number": "703-846-0097",
"fax_number": "703-846-0802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTORIA PLASTIC SURGERY CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SUH",
"authorized_official_first_name": "YONGSOOK",
"authorized_official_middle_name": "VICTORIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-846-0097",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "VA",
"license": "0101057456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.