Organization Active NPI

Loudoun Center for Plastic Surgery LLC

  • Plastic Surgery Physician
  • Ashburn, VA
National Provider Identifier
1821254905
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0101225608 Issued in VA
Legal business name
LOUDOUN CENTER FOR PLASTIC SURGERY LLC
Practice address
45155 Research PL
Suite 125
Ashburn, VA 20147-4191
Phone
(703) 726-1175
Fax
(703) 726-9975
NPI assigned
Jul 29, 2008
Last updated
Jun 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
Dr. Michael Joseph Brown, MDNPI 1275668295
Title
Medical Director
Phone
(703) 726-1175

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 0101225608 VA Primary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 0101225608 VA

Addresses

Primary practice location

45155 Research PL
Suite 125
Ashburn, VA 20147-4191

Mailing address

45155 Research PL
Suite 125
Ashburn, VA 20147-4191
Phone (703) 726-1175

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2024206The Loudoun Center for Plastic Surgery45155 Research Place - Suite 125, Ashburn, VA 20147Certificate of waiverMay 10, 2027

National Provider Directory

National Provider Directory

Locations

45155 Research Pl
Ste 125
Ashburn, VA 20147
Phone (703) 726-1175

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1821254905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45155 RESEARCH PL",
            "address_2": "SUITE 125",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474191",
            "telephone_number": "703-726-1175",
            "fax_number": "703-726-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45155 RESEARCH PL",
            "address_2": "SUITE 125",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474191",
            "telephone_number": "703-726-1175",
            "fax_number": "703-726-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDOUN CENTER FOR PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "703-726-1175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101225608",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "VA",
            "license": "0101225608",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.