Dominion Surgical Specialists, LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

DOMINION SURGICAL SPECIALISTS, LLC

Practice address

2755 Hartland Rd Ste 300
Falls Church, VA 22043-3545

Phone

(703) 544-8971

NPI assigned

Aug 16, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Vineet MehanNPI 1194943555

Title

Manager

Phone

(703) 544-8971

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Practitioners 2

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

• Vineet Mehan, MD

  • Plastic Surgery Physician
  • Falls Church, VA
  • NPI 1194943555

  DC

  Medicare reassignment NPD Authorized official
• Earl McArthur Johnson Jr., MD

  • Plastic Surgery Physician
  • Falls Church, VA
  • NPI 1124252531

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720504244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 HARTLAND RD STE 300",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433545",
            "telephone_number": "703-544-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 HARTLAND RD STE 300",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433545",
            "telephone_number": "703-544-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION SURGICAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MEHAN",
        "authorized_official_first_name": "VINEET",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-544-8971",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominion Plastic Surgery LLC
• Dominion Plastic Surgery LLC
• Dominion Plastic Surgery LLC
• Dominion Plastic Surgery LLC
• Dominion Surgical Associates, LLC
• Yu Dong, M.D., PH.D.
• Zhengjianing Dong, PT
• Kathleen M Donnelly, M.D.
• Lauren Cailtin Donnelly, PHARMD
• Sarah Kathryn Donnelly, MT-BC

• Plastic and Reconstructive Surgery Physician in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Plastic and Reconstructive Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.