Organization Active NPI

Victoria Plastic Surgery Center, Inc.

  • Specialist
  • Fairfax, VA
National Provider Identifier
1700903408
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101057456 Issued in VA
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

Updated by the provider on Aug 22, 2020

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.NPI 1174664031
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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20040610001190 DC Part B Supplier - Clinic/Group Practice 3870576895 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfax, VA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.