Premiere Center for Cosmetic Surgery

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

PREMIERE CENTER FOR COSMETIC SURGERY

Practice address

3930 Pender Dr
Suite 120
Fairfax, VA 22030-0985

Phone

(703) 752-6608

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Cynthia Trautman

Title

Practice Manager

Phone

(813) 305-9100

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Julie Christine Aten, APRN

  • Adult Health Nurse Practitioner
  • Tampa, FL
  • NPI 1083175665
  NPD
• Mary Sheree Holliman, NP

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1033774195
  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1811185481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 W KENNEDY BLVD STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093481",
            "telephone_number": "813-400-1465",
            "fax_number": "813-386-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 PENDER DR",
            "address_2": "SUITE 120",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220300985",
            "telephone_number": "703-752-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE CENTER FOR COSMETIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "TRAUTMAN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "813-305-9100"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precision Care Health Services LLC
• Precision Performance Physio LLC
• Premier Dental Arts, LLC
• Premier OB/GYN Associates LLC
• Premier Psychiatry Inc
• Premium Care USA LLC
• Prestige Medical House Call LLC
• Prestige Pharmacy Virginia, LLC.
• Laura Preston, LSCW
• Sanita T. Previl, CD(DONA)

• Plastic Surgery Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Plastic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.